Healthcare Provider Details

I. General information

NPI: 1407994098
Provider Name (Legal Business Name): DAVID LEE BUCHANAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 W PUEBLO ST SUITE A
SANTA BARBARA CA
93105-6206
US

IV. Provider business mailing address

427 W PUEBLO ST SUITE A
SANTA BARBARA CA
93105-6206
US

V. Phone/Fax

Practice location:
  • Phone: 805-687-7336
  • Fax: 805-687-9491
Mailing address:
  • Phone: 805-687-7336
  • Fax: 805-687-9491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberC39257
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: