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Individual

DR. DAVID BUCKWALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 565-6666
Mailing address
146 CRAZY HORSE DR, DURANGO, CO 81301-3100
(928) 377-6868

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4801
AZ
207P00000X
Emergency Medicine Physician
DR-51379
CO
207P00000X
Emergency Medicine Physician
Primary
TL1320
WY

Other

Enumeration date
05/29/2007
Last updated
07/20/2012
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