Individual
JONATHAN BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 E 20TH ST STE 300, SIOUX FALLS, SD 57105-1045
(605) 322-1300
(605) 322-1301
Mailing address
911 E 20TH ST STE 300, SIOUX FALLS, SD 57105-1045
(605) 322-1300
(605) 322-1301
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
10560
SD
207RS0010X
Sports Medicine (Internal Medicine) Physician
166288
OR
Other
Enumeration date
05/27/2010
Last updated
11/13/2017
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