Provider Demographics
NPI:1790309938
Name:BUTEL, BRYAN JOHN (DO)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:JOHN
Last Name:BUTEL
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3001 QUAIL SPRINGS PKWY FL 5
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2640
Mailing Address - Country:US
Mailing Address - Phone:405-636-7650
Mailing Address - Fax:405-636-7743
Practice Address - Street 1:4221 S WESTERN AVE STE 3030
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3492
Practice Address - Country:US
Practice Address - Phone:405-636-7650
Practice Address - Fax:405-636-7743
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK7700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine