Provider Demographics
NPI:1649519778
Name:BUTLER CANCER ASSOCIATES INC
Entity type:Organization
Organization Name:BUTLER CANCER ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR.DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:T
Authorized Official - Last Name:EHALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-647-0943
Mailing Address - Street 1:102 TECHNOLOGY DR
Mailing Address - Street 2:SUITE110
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1784
Mailing Address - Country:US
Mailing Address - Phone:724-482-2679
Mailing Address - Fax:724-482-2542
Practice Address - Street 1:102 TECHNOLOGY DR
Practice Address - Street 2:SUITE110
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1784
Practice Address - Country:US
Practice Address - Phone:724-482-2679
Practice Address - Fax:724-482-2542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-09
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty