Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christian Wolfram Butler, PA-C

Individual provider Physician Assistant · NPI 1689453094

Christian Wolfram Butler, PA-C is a Physician Assistant in Farmington, New Mexico. Qualified in 2023, 3 years ago. Practices with San Juan Regional Medical Center, Inc, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
3
Licensed in
NM
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2500 Farmington Ave
Farmington, NM 87401-4504
Phone: (505) 609-6830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 E 30th St Ste 101, Farmington, NM 87401-8990 — (505) 327-1400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2023-0262 (NM)

Record details

NPI number1689453094
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice San Juan Regional Medical Center, Inc. — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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