Healthcare Provider Details

I. General information

NPI: 1306846118
Provider Name (Legal Business Name): RICHARD ARTHUR BUZARD OS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E NORTH AVE AGH EMERGENCY ASSOCS
PITTSBURGH PA
15212-4756
US

IV. Provider business mailing address

320 E NORTH AVE AGH EMERGENCY ASSOCS
PITTSBURGH PA
15212-4756
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-4138
  • Fax: 412-359-8874
Mailing address:
  • Phone: 412-359-4138
  • Fax: 412-359-8874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS008279L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: