# LEGEND HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1295225076
- **Authorized official:** DR. JEREMY BUCKNER DC (MANAGER)
- **Authorized official phone:** (480) 897-3300

## Contact information

- **Practice address:** 1001 E WARNER RD STE 107, TEMPE, AZ 85284-3224
- **Practice address phone:** (480) 897-3300
- **Practice address fax:** (480) 897-3312
- **Mailing address:** 1001 E WARNER RD STE 107, TEMPE, AZ 85284-3224
- **Mailing address phone:** (480) 897-3300
- **Mailing address fax:** (480) 897-3312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | AZ | Yes |
| 363LF0000X | Family Nurse Practitioner | — | AZ | — |

## Other

- **Enumeration date:** 05/16/2018
- **Last updated:** 05/16/2018