Individual
HEIDI BUCKINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 SUGAR CAMP CIR STE 205, OAKWOOD, OH 45409-1981
(937) 395-3656
(937) 395-3657
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
024501
LA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35.089021
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2754845
—
OH
Enumeration date
09/30/2005
Last updated
02/04/2022
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