Individual
DR. RUSSELL I. BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2413 W RIDGEWAY AVE, WATERLOO, IA 50701-4306
(319) 226-9888
(319) 226-9889
Mailing address
2413 W RIDGEWAY AVE, WATERLOO, IA 50701-4306
(319) 226-9888
(319) 226-9889
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
34843
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1276501
—
IA
Enumeration date
06/09/2006
Last updated
07/21/2022
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