Organization
CLAYBROOKE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BRUCE BUCKLES D.O. (OWNER/PHYSCIAN)
(636) 456-1500
Entity
Organization
Contact information
Practice address
1428 N HIGHWAY 47, SUITE B., WARRENTON, MO 63383-1375
(636) 456-1500
(636) 456-5014
Mailing address
1428 N HIGHWAY 47, SUITE B., WARRENTON, MO 63383-1375
(636) 456-1500
(636) 456-5014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R9618
MO
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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