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NPI Code Detail

MEDICARE: DR. BRIAN J BUCHANAN MD

MEDICARE: DR. BRIAN J BUCHANAN 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
1208000000XPediatrics Physician374330-1205UT

General Provider Information

NPI Number : 1952383796
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN J BUCHANAN MD
Provider Business Mailing Address
First Line : 9071 S 1300 W
Second Line : #301
City : WEST JORDAN
State : UT
Zip : 84088-6672
Country : US
Telephone Number : 801-565-1162
Fax Number : 801-565-1168
Provider Business Practice Location Address
First Line : 9071 S 1300 W
Second Line : #301
City : WEST JORDAN
State : UT
Zip : 84088-6672
Country : US
Telephone Number : 801-565-1162
Fax Number : 801-565-1168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 07/26/2013

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Directions to “ DR. BRIAN J BUCHANAN MD” Practice Location

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