Individual provider · Type 1 NPI
Stephen John Buetow, MD
Diagnostic Radiology Physician · Fort Gordon, GA
NPI number
1386614717
Active
Practice location
Ddeamc, Department Of Radiology, 300 Hospital Rd.
Fort Gordon, GA 30905
Mailing address
4560 Juniper Pl
Evans, GA 30809-4538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 052151 (GA) |
| Diagnostic Radiology Physician | 2085R0202X | 23501 (SC) |
| Diagnostic Radiology Physician | 2085R0202X | D55545 (MD) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1386614717
Stephen John Buetow, MD's National Provider Identifier is 1386614717, issued on Jan 26, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Gordon, GA. The record was last updated on Jul 8, 2007.