Buckhout, Bradley C
Buckhout, Bradley C is an individual health care provider with primary practice located at 650 E Indian School Rd Clc, Phoenix AZ 85012-1839. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Buckhout, Bradley C can be contacted via phone (602) 277-5551.Contact Information
Primary practice address
650 E Indian School Rd Clc
Phoenix AZ 85012-1839
Phone: (602) 277-5551
Fax: (602) 200-6039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13405 | Arizona |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 13405 | Arizona |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 13405 | Arizona |
Profile Details
| NPI number | 1962620666 |
|---|---|
| LBN Legal business name | Buckhout, Bradley C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jan 8th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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