Individual
DR. SCOTT C BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 LIBERTY RD, SUITE H, ELDERSBURG, MD 21784-6412
(240) 913-5900
(240) 913-5901
Mailing address
1330 LIBERTY RD, SUITE H, ELDERSBURG, MD 21784-6412
(240) 913-5900
(844) 205-5691
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
D52179
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
937100100
—
MD
Enumeration date
01/30/2006
Last updated
12/11/2020
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