Provider Demographics
NPI:1760465876
Name:BUHLER, MARK H (NP)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:H
Last Name:BUHLER
Suffix:
Gender:M
Credentials:NP
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1001 POTRERO AVE RM 1E 21
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110
Mailing Address - Country:US
Mailing Address - Phone:415-206-8111
Mailing Address - Fax:
Practice Address - Street 1:1001 POTRERO AVE RM 1E 21
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110
Practice Address - Country:US
Practice Address - Phone:415-206-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP11948363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP21402Medicare UPIN