Individual
DR. MARK EDWARD BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-2497
Mailing address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-2497
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35041
IA
207X00000X
Orthopaedic Surgery Physician
42906
KY
207X00000X
Orthopaedic Surgery Physician
Primary
E-10082
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000620840
ANTHEM
KY
05
—
7100089980
—
KY
01
—
P00752415
RAILROAD
KY
Enumeration date
08/30/2005
Last updated
10/17/2016
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