Individual
MARK ALAN BUCKMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 7TH AVE S, SUITE 420 ACC, BIRMINGHAM, AL 35233-1711
(205) 939-9235
(205) 939-9936
Mailing address
703 VOLKER HL, BIRMINGHAM, AL 35294-0001
(205) 939-9235
(205) 939-9936
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19298
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051501388
BLUE CROSS BLUE SHIELD
AL
05
—
051501388
—
AL
Enumeration date
12/28/2005
Last updated
12/05/2014
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