Individual
RICA MAURICIO BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
9500 EUCLID AVE # NA23, CLEVELAND, OH 44195-0001
(832) 444-4675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101274067
VA
207L00000X
Anesthesiology Physician
57.247099
OH
207R00000X
Internal Medicine Physician
125067288
IL
Other
Enumeration date
03/31/2015
Last updated
05/14/2022
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