Individual
DR. ROBERT C BUCKNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 HEALTH PARK DR, #160, LOUISVILLE, CO 80027
(303) 673-9030
(303) 604-1095
Mailing address
90 HEALTH PARK DR, #160, LOUISVILLE, CO 80027
(303) 673-9030
(303) 604-1095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31365
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01313659
—
CO
Enumeration date
10/31/2006
Last updated
07/08/2007
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