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Individual

SUSAN S BUCHWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 E 2ND ST, SUITE 206, RENO, NV 89502-1181
(775) 789-7000
(775) 789-7040
Mailing address
1500 E 2ND ST, SUITE 206, RENO, NV 89502-1181
(775) 789-7000
(775) 789-7040

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3751
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CC4366
ANTHEM BCBS
NV
05
XPY187230
CA
Enumeration date
05/31/2005
Last updated
01/11/2008
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