Provider Demographics
NPI:1497882286
Name:BUONANNO, ALBERT ANTHONY III
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:ANTHONY
Last Name:BUONANNO
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 SUN WAY
Mailing Address - Street 2:
Mailing Address - City:BAILEY
Mailing Address - State:CO
Mailing Address - Zip Code:80421-2154
Mailing Address - Country:US
Mailing Address - Phone:303-875-4201
Mailing Address - Fax:
Practice Address - Street 1:2785 S PIERCE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80227-3531
Practice Address - Country:US
Practice Address - Phone:303-987-1681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator