Individual
KURT T. BUDENBENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 744-4760
(602) 744-4799
Mailing address
645 E MISSOURI AVE, STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20A8275
CA
207L00000X
Anesthesiology Physician
Primary
4586
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX82750
—
CA
01
—
020A82750
BLUE SHIELD OF CA
CA
05
—
221591
—
AZ
01
—
P00667818
MEDICARE RAILROAD
—
Enumeration date
06/06/2006
Last updated
02/18/2020
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