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NPI Code Detail

MEDICARE: TONYA MARIE BUCHANAN

MEDICARE: TONYA MARIE BUCHANAN
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
1175T00000XPeer SpecialistAPS.006742OH

General Provider Information

NPI Number : 1336026079
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA MARIE BUCHANAN
Provider Business Mailing Address
First Line : 13508 MAPLE LEAF DR
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-4045
Country : US
Telephone Number : 216-372-9635
Fax Number :
Provider Business Practice Location Address
First Line : 4705 STATE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-5244
Country : US
Telephone Number : 440-468-6550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2025
Last Update Date : 08/15/2025

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Directions to “ TONYA MARIE BUCHANAN ” Practice Location

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