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NPI Code Detail

MEDICARE: DR. CHRISTINE MARGARET BUCHANAN MD

MEDICARE: DR. CHRISTINE MARGARET BUCHANAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianG56116CA

General Provider Information

NPI Number : 1316074867
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE MARGARET BUCHANAN MD
Provider Business Mailing Address
First Line : 124 GREENDALE DR
Second Line :
City : LOS GATOS
State : CA
Zip : 95032-2707
Country : US
Telephone Number : 408-356-4419
Fax Number :
Provider Business Practice Location Address
First Line : 1156 HIGH ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95064-1077
Country : US
Telephone Number : 831-459-2211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 07/08/2007

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