Individual
ROBERT BUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 ESPLANADE DR, BROKEN BOW, OK 74728-6103
(580) 236-6359
Mailing address
111 ESPLANADE DR, BROKEN BOW, OK 74728-6103
(580) 236-6359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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