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Individual

MR. PAUL S BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
211 NORTHPARKE DR, SPRINGFIELD, OH 45503-1117
(937) 390-1700
(937) 390-2471
Mailing address
211 NORTHPARKE DR, SPRINGFIELD, OH 45503-1117
(937) 390-1700
(937) 390-2471

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35045180
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0458777
OH
01
P00884831
MEDICARE RR
OH
Enumeration date
07/26/2005
Last updated
08/02/2011
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