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Individual

MR. BRENT BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RTT CMD

Contact information

Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3457
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3457

Taxonomy

Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
394866

Other

Enumeration date
06/16/2014
Last updated
06/16/2014
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