Organization
ANESTHESIA MEDICAL GROUP OF RIVERSIDE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BUCHAN MD (PRESIDENT)
(951) 686-3575
Entity
Organization
Contact information
Practice address
6969 BROCKTON AVE STE B, RIVERSIDE, CA 92506-3813
(951) 686-3575
(951) 781-2194
Mailing address
6969 BROCKTON AVE STE B, RIVERSIDE, CA 92506-3813
(951) 686-3575
(951) 781-2194
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ207762
—
CA
Enumeration date
07/12/2006
Last updated
02/11/2008
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