Individual
DR. BRAD E BUCHANAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 582-6500
(573) 582-3729
Mailing address
3402 RIDGEVIEW DR, COLUMBIA, MO 65203-8792
(573) 445-1167
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2001001464
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001001464
MO STATE LICENSE NUMBER
MO
Enumeration date
12/22/2005
Last updated
07/08/2007
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