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Contact Information

BRADLEY C BUCKHOUT, MD
650 E INDIAN SCHOOL RD
CLC
PHOENIX, AZ85012-1839
 Phone: 602-277-5551
 Fax: 602-200-6039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRADLEY C BUCKHOUT · (Male)

NPI # 1962620666
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 01/08/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 13405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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