Individual
DR. JUSTIN TODD BUCHANAN
Active
Individual
DR. JUSTIN TODD BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2018-03007
NC
2085R0202X
Diagnostic Radiology Physician
Primary
46689
TN
2085R0202X
Diagnostic Radiology Physician
ME126787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016743700
—
FL
01
—
IM424X
MEDICARE PTAN
FL
01
—
IM424Y
MEDICARE PTAN
FL
01
—
IM424Z
MEDICARE PTAN
FL
01
—
KZBPL
BCBS
FL
01
—
P01664307
RAILROAD MEDICARE
FL
Enumeration date
07/02/2009
Last updated
08/21/2019
Update your record
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