Organization
AVANT HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BUCKNER DC (OWNER)
(602) 421-2730
Entity
Organization
Contact information
Practice address
1001 E WARNER RD STE 107, TEMPE, AZ 85284-3224
(480) 897-3300
Mailing address
PO BOX 11180, TEMPE, AZ 85284-0020
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/05/2020
Last updated
03/06/2020
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