Organization
STEVEN M. BUCKLES D.O. P.C.
Active
Other names
Agape Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MARK BUCKLES D.O. (OWNER)
(816) 279-4882
Entity
Organization
Contact information
Practice address
3949 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 279-4882
(816) 279-4008
Mailing address
3949 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 279-4882
(816) 279-4008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
105609
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001146903
COMMUNITY HEALTH PLAN
MO
01
—
21061107
BLUE CROSS BLUE SHIELD
MO
01
—
2324148
AETNA
MO
01
—
DD7089
RAILROAD RETIREMENT BOARD
MO
Enumeration date
04/03/2007
Last updated
02/22/2008
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