Individual
EVAN MICHAEL BUCKMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 582-1234
(573) 582-1212
Mailing address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 582-1234
(573) 582-1212
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2021040122
MO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2021040122
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200085648
—
MO
Enumeration date
06/22/2020
Last updated
02/12/2026
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