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Individual

SUZANNE BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3607 N RIDGE RD, WICHITA, KS 67205
(316) 721-2701
(316) 721-8612
Mailing address
1851 N WEBB RD, WICHITA, KS 67206-3413
(316) 691-4418
(316) 691-4408

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1394
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100220270B
KS
Enumeration date
02/21/2006
Last updated
07/13/2010
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