Individual
KURT T. BUDENBENDER
Active
Individual
KURT T. BUDENBENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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