Individual
BRIAN A BUCINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 LEE ST, WINSLOW, AZ 86047-2603
(928) 289-3396
(928) 289-2801
Mailing address
200 LEE ST, WINSLOW, AZ 86047-2603
(928) 289-3396
(928) 289-2801
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101016779
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
787516
—
AZ
Enumeration date
05/10/2007
Last updated
07/20/2016
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