Provider Demographics
NPI:1295871283
Name:BUCHER, MARK E (CRNA)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:E
Last Name:BUCHER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9300 COUNTY ROAD 3500
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-3597
Mailing Address - Country:US
Mailing Address - Phone:505-862-3682
Mailing Address - Fax:
Practice Address - Street 1:2001 CRADDUCK RD
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-9400
Practice Address - Country:US
Practice Address - Phone:405-514-4786
Practice Address - Fax:405-758-5354
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0069871367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered