Individual
WIILARD EARL BUCHANAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1135 BETHEL AVE, PT ORCHARD, WA 98366-3125
(360) 895-2020
(360) 874-0048
Mailing address
20669 BOND RD NE, STE 100, POULSBO, WA 98370-6525
(360) 779-2020
(360) 779-3093
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001118
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023539
—
WA
Enumeration date
10/07/2005
Last updated
07/08/2007
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