# GARY D BUCHHOLZ MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043653777
- **Authorized official:** DR. GARY D BUCHHOLZ MD (PRESIDENT)
- **Authorized official phone:** (541) 706-5460

## Contact information

- **Practice address:** 2275 NE DOCTORS DR, SUITE 9, BEND, OR 97701-6324
- **Practice address phone:** (541) 706-5460
- **Practice address fax:** (541) 706-9282
- **Mailing address:** 2275 NE DOCTORS DR, SUITE 9, BEND, OR 97701-6324
- **Mailing address phone:** (541) 706-5460
- **Mailing address fax:** (541) 706-9282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD14593 | OR | Yes |

## Other

- **Enumeration date:** 04/11/2013
- **Last updated:** 04/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 151332 | — | OR |