Provider Demographics
NPI:1821295148
Name:BUSCHMAN, PAUL BENJAMIN (MD)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:BENJAMIN
Last Name:BUSCHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 NORTH MORROW STREET
Mailing Address - Street 2:
Mailing Address - City:MENA
Mailing Address - State:AR
Mailing Address - Zip Code:71953
Mailing Address - Country:US
Mailing Address - Phone:319-356-2256
Mailing Address - Fax:
Practice Address - Street 1:311 NORTH MORROW STREET
Practice Address - Street 2:
Practice Address - City:MENA
Practice Address - State:AR
Practice Address - Zip Code:71953
Practice Address - Country:US
Practice Address - Phone:479-394-6100
Practice Address - Fax:479-394-4577
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR8189207R00000X
ARE-8025207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine