Individual
MR. DANIEL GORDON BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 587-6011
(530) 582-3287
Mailing address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 587-6011
(530) 582-3287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
16103
CA
363A00000X
Physician Assistant
PA885
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12506506
CAQH
—
01
—
16103
STATE LICENSE
CA
Enumeration date
01/03/2007
Last updated
07/01/2024
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