Individual
SUNNY BUCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5525
Mailing address
450 E RIDGEWAY ST, JACKSON, MS 39206-5742
(334) 806-2835
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022044705
MO
208000000X
Pediatrics Physician
T-3913
MS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/02/2019
Last updated
11/10/2022
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