Individual
JEFFREY R BUCHHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 546-0970
(602) 546-0469
Mailing address
1919 E THOMAS RD, BLDG. C MANAGED CARE, PHOENIX, AZ 85016-7710
(602) 546-0486
(602) 546-1631
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
38980
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119333
—
AZ
Enumeration date
02/06/2006
Last updated
07/08/2007
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