Individual
DR. RANDY SCOTT BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
220 SOUTH WOODBINE RD, SAINT JOSEPH, MO 64506
(816) 676-1300
(816) 676-1400
Mailing address
220 SOUTH WOODBINE RD, SAINT JOSEPH, MO 64506
(816) 676-1300
(816) 676-1400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
108739
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080128455
RAILROAD RETIR BRD PRO #
MO
01
—
100001359400
CHP PROVIDER #
MO
01
—
10001359400
COMUUNITY HEALTH PLAN #
MO
01
—
2326850
AETNA PROVIDER ID
MO
01
—
24918021
BCKC PROVIDER ID
MO
05
—
249770702
—
MO
01
—
27020012
BCKC GROUP ID #
MO
01
—
385996
HEALTHLINK PROVIDER #
MO
01
—
431812629
WPS TRICARE FOR LIFE
MO
01
—
45828
HEALTHLINK GRP #
MO
05
—
505804906
—
MO
Enumeration date
08/04/2006
Last updated
12/30/2009
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