Provider Demographics
NPI:1710998166
Name:BUCUR, WILLIAM MIRCEA (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MIRCEA
Last Name:BUCUR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:MIRCEA
Other - Middle Name:CODRU
Other - Last Name:BUCUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:16995 W GREENWAY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-9609
Mailing Address - Country:US
Mailing Address - Phone:623-433-8895
Mailing Address - Fax:623-455-8759
Practice Address - Street 1:16630 W GREENWAY RD
Practice Address - Street 2:321
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-2185
Practice Address - Country:US
Practice Address - Phone:623-433-8895
Practice Address - Fax:623-455-8759
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7713111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor