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NPI Code Detail

MEDICARE: DR. MARK T. BUCHMAN MD

MEDICARE:  DR. MARK T. BUCHMAN  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
1207XS0106XOrthopaedic Hand Surgery Physician22803OK
2207XS0106XOrthopaedic Hand Surgery Physician16423NE
3207XS0106XOrthopaedic Hand Surgery Physician04-32877KS
4207XS0106XOrthopaedic Hand Surgery Physician9188SD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00396968OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100056OTHERNEBCBS
2253620OTHERMIDLANDS CHOICE

General Provider Information

NPI Number : 1063403962
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK T. BUCHMAN MD
Provider Business Mailing Address
First Line : 353 FAIRMONT BLVD
Second Line : ATTEN CHRISTIE MSS
City : RAPID CITY
State : SD
Zip : 57701-7350
Country : US
Telephone Number : 308-865-2500
Fax Number : 308-865-2511
Provider Business Practice Location Address
First Line : 2479 E COLORADO BLVD
Second Line :
City : SPEARFISH
State : SD
Zip : 57783-3204
Country : US
Telephone Number : 605-644-4460
Fax Number : 605-644-4461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 08/27/2014

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