Individual
DR. RICHARD BRUCE BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19515 BRUNE PKWY, WARRENTON, MO 63383-6505
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R9618
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450321
UNITED HEALTHCARE
—
01
—
112110
BLUE CROSS BLUE SHIELD
—
05
—
241700236
—
MO
Enumeration date
08/16/2006
Last updated
04/22/2019
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