Individual
DR. JOHN WORDY BUCKNER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 N ROSE AVE, OXNARD, CA 93030-3722
(805) 988-2500
Mailing address
4629 PEPPER MILL ST, MOORPARK, CA 93021-2408
(417) 773-1945
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
157401
CA
207P00000X
Emergency Medicine Physician
2014021729
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215294327
—
MO
Enumeration date
04/13/2012
Last updated
11/18/2022
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