Individual
DR. FRED R BUCKHOLD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-0069
Mailing address
1402 S GRAND BLVD, INTERNAL MEDICINE - FDT 12TH FLOOR, SAINT LOUIS, MO 63104-1004
(314) 577-6095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2010003401
MO
Other
Enumeration date
07/25/2007
Last updated
09/16/2025
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