Individual
DR. TIMOTHY BUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S BALLAS RD, SAINT LOUIS, MO 63122-5314
(314) 251-5834
Mailing address
615 S BALLAS RD, SAINT LOUIS, MO 63122-5314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2010021778
MO
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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