Individual
JOHN BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
169, PROSTHETICS
TN
174400000X
Specialist
8552, PHYSICAL THERA
TN
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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