Individual
BONNIE B BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 KEEFER DR, MERCERSBURG, PA 17236-1732
(717) 328-2119
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054782
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103147321
—
PA
01
—
103LM509
HIGHMARK PTAN
MD
01
—
867633
MEDICARE GROUP #
PA
Enumeration date
03/26/2007
Last updated
07/06/2022
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