Organization
L. J. BUCKEL MD INC
Active
Organization
L. J. BUCKEL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY J BUCKEL MD (PRESIDENT)
(317) 889-7546
Entity
Organization
Contact information
Practice address
92 S PARK BLVD, GREENWOOD, IN 46143-8836
(317) 889-7546
(317) 889-2482
Mailing address
92 S PARK BLVD, GREENWOOD, IN 46143-8836
(317) 889-7546
(317) 889-2482
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
01022110
IN
Other
Enumeration date
08/14/2007
Last updated
03/21/2024
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