Individual
DR. JAMES WILLIS BUCKNER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9212 N CENTRAL AVE, PHOENIX, AZ 85020-2416
(480) 999-4954
(480) 999-4712
Mailing address
7142 N 27TH LN, PHOENIX, AZ 85051-8469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52872
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203338
—
AZ
Enumeration date
05/27/2011
Last updated
04/05/2024
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