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NPI Code Detail

MEDICARE: DR. CAROLE BUCHHOLZ

MEDICARE: DR. CAROLE BUCHHOLZ
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
1208000000XPediatrics Physician4228AK

General Provider Information

NPI Number : 1336362557
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLE BUCHHOLZ
Provider Business Mailing Address
First Line : 44455 STERLING HWY
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-7936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 44455 STERLING HWY
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-7936
Country : US
Telephone Number : 907-262-2229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 09/07/2023

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Directions to “ DR. CAROLE BUCHHOLZ ” Practice Location

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