Individual
DR. TRAVIS DANIEL BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4200 S DOUGLAS AVE STE 306, OKLAHOMA CITY, OK 73109-3215
(405) 636-7195
Mailing address
4200 S DOUGLAS AVE STE 306, OKLAHOMA CITY, OK 73109-3215
(405) 636-7195
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6373
OK
Other
Enumeration date
06/19/2017
Last updated
09/11/2018
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