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Individual

WILLIAM L BUENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-5000
(740) 353-7900
Mailing address
1735 27TH ST, WALLER BUILDING, SUITE B06, PORTSMOUTH, OH 45662-2677
(740) 356-8008
(740) 353-7900

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35039715
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000198327
BC/BS INDIVIDUAL PIN NO
OH
05
0489850
OH
05
64780935
KY
01
P00176287
SOM RR MDCR PIN NUMBER
OH
Enumeration date
07/22/2005
Last updated
07/17/2013
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