Individual
JASON BUCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4106 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2968
(757) 393-1136
(757) 698-2499
Mailing address
4106 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2968
(757) 393-1136
(757) 698-2499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102208257
VA
207Q00000X
Family Medicine Physician
2019022869
MO
207Q00000X
Family Medicine Physician
T6844
TX
Other
Enumeration date
07/22/2019
Last updated
12/29/2023
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