Provider Demographics
NPI:1518067610
Name:BUECHEL, ROBERT WESLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WESLEY
Last Name:BUECHEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4747 MISSION BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-2541
Mailing Address - Country:US
Mailing Address - Phone:858-866-6688
Mailing Address - Fax:858-362-7468
Practice Address - Street 1:4747 MISSION BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-2541
Practice Address - Country:US
Practice Address - Phone:858-866-6688
Practice Address - Fax:858-362-7468
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26017111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor