Individual
NANCI JAYNE BUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 EDGEWATER POINTE, SUITE 200, LAKE ST. LOUIS, MO 63367
(636) 561-8088
(636) 561-1405
Mailing address
1000 EDGEWATER POINTE, STE: 200, LAKE ST. LOUIS, MO 63367
(636) 561-8088
(636) 561-1405
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R6N47
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247819600
—
MO
Enumeration date
03/07/2006
Last updated
02/25/2020
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