Individual
IAN MAURICE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 WOODSPRINGS RD, JONESBORO, AR 72401-0903
(870) 934-9800
(870) 934-8463
Mailing address
5537 BLEAUX AVE, SPRINGDALE, AR 72762-0737
(479) 872-5580
(479) 872-5581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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