Individual
SCOTT A. BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
818 CONGRESS ST, PORTLAND, ME 04102-3112
(207) 773-8161
(207) 773-1489
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
MD15638
ME
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD15638
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271080099
—
ME
Enumeration date
05/24/2006
Last updated
04/24/2017
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