MEDICARE: DR. BARBARA BUCHANAN BARBARA 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
1	2084P0804X	Child & Adolescent Psychiatry Physician	30203	MO

General Provider Information

NPI Number	:	1912293861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA BUCHANAN BARBARA BUCHANAN, MD

Provider Business Mailing Address
First Line	:	16760 S VILLAGE DR
Second Line	:
City	:	VILLAGE OF LOCH LLOYD
State	:	MO
Zip	:	64012-4166
Country	:	US
Telephone Number	:	816-322-7191
Fax Number	:

Provider Business Practice Location Address
First Line	:	16760 S VILLAGE DR
Second Line	:
City	:	VILLAGE OF LOCH LLOYD
State	:	MO
Zip	:	64012-4166
Country	:	US
Telephone Number	:	816-322-7191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2011
Last Update Date	:	06/20/2011

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