Individual
IRA HAROLD BUCHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2029 TEMPRANILLO LN, BRENTWOOD, CA 94513-5291
(925) 204-5099
Mailing address
2029 TEMPRANILLO LN, BRENTWOOD, CA 94513-5291
(925) 204-5099
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G21971
CA
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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