Individual
ALICIA NICOLE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-2717
ID
363A00000X
Physician Assistant
Primary
PA51383
CA
Other
Enumeration date
12/13/2013
Last updated
04/14/2025
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