Provider Demographics
NPI:1508967001
Name:KURT A BUZARD MD FACS PC
Entity Type:Organization
Organization Name:KURT A BUZARD MD FACS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BUZARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-738-2015
Mailing Address - Street 1:2657 WINDMILL PKWY # 140
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-3384
Mailing Address - Country:US
Mailing Address - Phone:702-738-2015
Mailing Address - Fax:702-454-0484
Practice Address - Street 1:2657 WINDMILL PKWY # 140
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-3384
Practice Address - Country:US
Practice Address - Phone:702-738-2015
Practice Address - Fax:702-454-0484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty