Individual
DR. JOHN BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
143 RIDGELAND DR, MAUMELLE, AR 72113-6000
(501) 851-2137
Mailing address
143 RIDGELAND DR, MAUMELLE, AR 72113-6000
(501) 851-2137
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R-2647
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110328001
—
AR
01
—
B90019
UPIN
AR
Enumeration date
11/26/2012
Last updated
11/26/2012
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