Provider Demographics
NPI:1982758009
Name:BUCHANAN, JAMES RICHARD (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:RICHARD
Last Name:BUCHANAN
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 1:51 CIBOLA CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-9006
Mailing Address - Country:US
Mailing Address - Phone:505-983-2857
Mailing Address - Fax:
Practice Address - Street 1:1704B LLANO
Practice Address - Street 2:STE 286
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-9006
Practice Address - Country:US
Practice Address - Phone:505-983-2857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM81207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery