Provider Demographics
NPI:1033813928
Name:BUCHTEL, JOSHUA DALE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DALE
Last Name:BUCHTEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 E 6TH ST APT 221
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-4831
Mailing Address - Country:US
Mailing Address - Phone:308-214-0937
Mailing Address - Fax:
Practice Address - Street 1:13677 W MCDOWELL RD FL 2
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2635
Practice Address - Country:US
Practice Address - Phone:623-848-5612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program