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Individual

SCOTT BUCKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29316
MS
207R00000X
Internal Medicine Physician
MD.35664
AL
208M00000X
Hospitalist Physician
U0972
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29316
MEDICAL LICENSE
MS
Enumeration date
03/30/2015
Last updated
07/09/2024
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