Healthcare Provider Details

I. General information

NPI: 1083681209
Provider Name (Legal Business Name): KURT A BUZARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2657 WINDMILL PKWY STE 140
HENDERSON NV
89074-3384
US

IV. Provider business mailing address

2657 WINDMILL PKWY STE 140
HENDERSON NV
89074-3384
US

V. Phone/Fax

Practice location:
  • Phone: 702-738-2015
  • Fax: 702-454-0484
Mailing address:
  • Phone: 702-738-2015
  • Fax: 702-454-0484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number5431
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: