Stephen John Buetow in Ft Gordon - Diagnostic Radiology
Stephen John Buetow - NPI 1386614717
Stephen John Buetow is a Diagnostic Radiology in Ft Gordon, Georgia. Stephen John Buetow practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Stephen John Buetow is 1386614717. The last update date is 2007-07-08.
Stephen John Buetow's current location address is Ddeamc, Department Of Radiology, Ft Gordon, Georgia. You can contact this provider via phone number 7067872175. The mailing address for Stephen John Buetow is Ddeamc, Department Of Radiology, Ft Gordon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen John Buetow |
|---|---|
| Address | Ddeamc, Department Of Radiology, Ft Gordon, Georgia |
| Phone Number | 7067872175 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386614717 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Ddeamc, Department Of Radiology |
|---|---|
| City | Ft Gordon |
| State | Georgia (GA) |
| Post Code | 30905 |
| Phone Number | 7067872175 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 52151 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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What is the unique identification code assigned to Stephen John Buetow by the Centers for Medicare & Medicaid Services?
The Stephen John Buetow has been issued the NPI (National Provider Identifier) 1386614717. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Stephen John Buetow is located?
The Stephen John Buetow is situated at the following address: Ddeamc, Department Of Radiology, Ft Gordon, GA, 30905.
What is the Stephen John Buetow's specialty and taxonomy code?
The Stephen John Buetow's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Stephen John Buetow receive its 1386614717 assignment from the Centers for Medicare & Medicaid Services?
The Stephen John Buetow was assigned its 1386614717 by the Centers for Medicare & Medicaid Services on 2006-01-26.
As of what date were the details related to Stephen John Buetow most recently updated or revised?
The information pertaining to Stephen John Buetow, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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