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Individual

DANA L BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O

Contact information

Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4405
(209) 578-1211
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2777

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A9469
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX94690
CA
Enumeration date
07/31/2006
Last updated
01/31/2008
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