Individual
JASON DAVID BUCHWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23005 N 74TH ST, SCOTTSDALE, AZ 85255-7500
(888) 991-4625
Mailing address
6027 E IRONWOOD DR, SCOTTSDALE, AZ 85266-6734
(480) 894-5545
(480) 515-3817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19714
NV
207R00000X
Internal Medicine Physician
223729
NY
207R00000X
Internal Medicine Physician
25MA07096300
NJ
207R00000X
Internal Medicine Physician
Primary
36912
AZ
207R00000X
Internal Medicine Physician
MD2019-0637
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266216
—
AZ
Enumeration date
06/09/2006
Last updated
09/06/2024
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