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Shirley Prasetyo Buntoro, DO
Family Medicine Physician in Sayre, Pennsylvania
NPI 1831727239

Shirley Prasetyo Buntoro is a Family Medicine Physician based in Walnut, PA. Shirley Prasetyo Buntoro practices in Sayre, PA and has the professional credentials of DO. The NPI Number for Shirley Prasetyo Buntoro is 1831727239 and holds a License No. (Pennsylvania).

The current practice location address for Shirley Prasetyo Buntoro is 1 Guthrie Sq, Sayre, PA and can be reached out via phone at 570-887-3585.

Location: 1 Guthrie Sq, Sayre, PA, 91789-1821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831727239
Provider Name
Shirley Prasetyo Buntoro
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1 Guthrie Sq, Sayre, PA, 91789-1821
Phone Number
570-887-3585
Fax Number
Provider Enumeration Date
03/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Guthrie Sq
City
Sayre
State
Pennsylvania
Zip
18840-1625
Phone Number
570-887-3585
Fax Number
person
Provider Business Mailing Address Details
Address
1 Guthrie Sq
City
Sayre
State
Pennsylvania
Zip
18840-1625
Phone Number
570-887-3585
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
U4752 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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