Individual
MR. JOHN ELWIN BUCKWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2902 W CLARENDON AVE, PHOENIX, AZ 85017-4609
(520) 858-6181
(866) 624-8718
Mailing address
20548 N DONITHAN WAY, MARICOPA, AZ 85138-2466
(520) 858-6181
(866) 624-8718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7376
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
969114
—
AZ
Enumeration date
09/25/2006
Last updated
02/12/2026
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