Individual
DR. STEPHEN JOHN BUETOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DDEAMC, DEPARTMENT OF RADIOLOGY, 300 HOSPITAL RD., FT GORDON, GA 30905
(706) 787-2175
Mailing address
4560 JUNIPER PL, EVANS, GA 30809-4538
(706) 651-1472
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
052151
GA
2085R0202X
Diagnostic Radiology Physician
23501
SC
2085R0202X
Diagnostic Radiology Physician
D55545
MD
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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