Individual
DR. MARK LEE BUCHLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 IRVING ST NW, SUITE 124-SOUTH, WASHINGTON, DC 20010-2927
(202) 877-3785
(202) 877-3740
Mailing address
PO BOX 418498, BOSTON, MA 02241-8498
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD0000-13451
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0261065-00
—
DC
05
—
15012-1600
—
MD
05
—
7306989
—
VA
Enumeration date
10/16/2006
Last updated
02/27/2012
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