MEDICARE: DR. JULIA RENEE BUCHKINA M.D.

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
1	207Q00000X	Family Medicine Physician	R-8495	IA
2	207Q00000X	Family Medicine Physician	39262	IA

General Provider Information

NPI Number	:	1790939288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA RENEE BUCHKINA M.D.

Provider Business Mailing Address
First Line	:	200 HAWKINS DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1007
Country	:	US
Telephone Number	:	319-339-7472
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 S SCOTT BLVD
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-2907
Country	:	US
Telephone Number	:	319-339-7472
Fax Number	:	319-688-2779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2008
Last Update Date	:	06/21/2012

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