Individual
DR. DUSTIN ALLEN BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2525 W UNIVERSITY AVE, MUNCIE, IN 47303
(765) 281-2000
Mailing address
1200 W WHITE RIVER BLVD, RCS PROVIDER ENROLLMENT, MUNCIE, IN 47303-3988
(765) 254-4009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02005192A
IN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
02005192A
IN
Other
Enumeration date
07/10/2013
Last updated
02/05/2019
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