Individual
MATTHEW BUCKNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE # M-391, SAN FRANCISCO, CA 94143-0628
(415) 476-8358
Mailing address
505 PARNASSUS AVE # M-391, SAN FRANCISCO, CA 94143-0628
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A111072
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/12/2009
Last updated
05/29/2013
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