Provider Demographics
NPI:1578865416
Name:BUCHANAN, PATRICK CODY (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:CODY
Last Name:BUCHANAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:800 W BOISE CIR
Mailing Address - Street 2:SUITE 320
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-4906
Mailing Address - Country:US
Mailing Address - Phone:918-994-9150
Mailing Address - Fax:918-403-6323
Practice Address - Street 1:800 W BOISE CIR
Practice Address - Street 2:SUITE 320
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-4906
Practice Address - Country:US
Practice Address - Phone:918-994-9150
Practice Address - Fax:918-403-6323
Is Sole Proprietor?:No
Enumeration Date:2010-11-29
Last Update Date:2016-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK5950207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery