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Individual

DR. J. MATTHEW S. BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-7142
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
CO49913
CO
207P00000X
Emergency Medicine Physician
OS015464
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024792
KAISER COMMERCIAL NUMBER
CO
05
80229042
CO
01
P01109045
RAILROAD MEDICARE
CO
Enumeration date
06/26/2008
Last updated
06/21/2021
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