Individual provider · NPI-1

Ronald Buchetto Jr.

Specialist/Technologist, Athletic Trainer · Plano, TX

NPI number1285198366
StatusActive
Last updated in NPPESJan 23, 2019

Details

NPI
1285198366
Entity type
Individual (NPI-1)
Name
Mr. Ronald Buchetto Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 23, 2019
Last updated
Jan 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

1517 Huron Trl
Plano, TX 75075-6825

Phone 203-996-7722

Mailing address

1517 Huron Trl
Plano, TX 75075-6825

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