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Individual

DR. GREGORY MICHAEL BUCHALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ENT CLINIC - EVANS COMMUNITY HOSPITAL, 1650 COCHRANE CIRCLE, FT. CARSON, CO 80913
(719) 524-6399
(719) 526-7320
Mailing address
1650 COCHRANE CIR, FT CARSON, CO 80913-4613
(719) 524-6399
(719) 503-7059

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
42644
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65208510
CO
Enumeration date
10/20/2005
Last updated
02/21/2025
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