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NPI Code Detail

MEDICARE: MR. JOHN R BUCHAN LISW

MEDICARE:  MR. JOHN R BUCHAN  LISW
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
11041C0700XClinical Social WorkerI05362NM

General Provider Information

NPI Number : 1942270129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN R BUCHAN LISW
Provider Business Mailing Address
First Line : 550 LAGUNITAS RD SW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87105-7574
Country : US
Telephone Number : 505-873-2087
Fax Number : 505-272-1538
Provider Business Practice Location Address
First Line : 306 SAN PABLO ST SE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-3167
Country : US
Telephone Number : 505-272-9379
Fax Number : 505-272-1538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 09/14/2023

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Directions to “ MR. JOHN R BUCHAN LISW” Practice Location

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