Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD17817 | OR |
NPI | 1427053990 |
---|---|
Provider Name | Knute C Buehler |
First Address | Bend, OR 97701-4283 |
Second Address | Bend, OR 97701-4283 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 31/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
150339 | (05) | OR |
G46733 | (02) | OR |