Provider Demographics
NPI:1124003041
Name:BUECHEL, DAVID WILLIAMS (DO, FACOI)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WILLIAMS
Last Name:BUECHEL
Suffix:
Gender:M
Credentials:DO, FACOI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3976 N CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-1460
Mailing Address - Country:US
Mailing Address - Phone:520-327-7457
Mailing Address - Fax:520-327-2733
Practice Address - Street 1:3976 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-1460
Practice Address - Country:US
Practice Address - Phone:520-327-7457
Practice Address - Fax:520-327-2733
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1452207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ220947Medicaid
AZE38638Medicare UPIN