BEGIN:VCARD VERSION:3.0 FN:James Butler\, MD N:Butler;James;;;MD TITLE:Gastroenterology Physician TEL;TYPE=WORK,VOICE:+13015932002 URL:https://www.gale.care/providers/md/silver-spring/james-butler-md-129584 9222 NOTE:NPI 1295849222. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1295849222 END:VCARD