Individual
RYAN P. BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 E 3RD ST # 376, SUITE 317, CHATTANOOGA, TN 37403-2147
(423) 778-7234
Mailing address
975 E 3RD ST # 376, SUITE 317, CHATTANOOGA, TN 37403-2147
(423) 778-7234
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
53165
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q15003
—
TN
Enumeration date
06/10/2009
Last updated
05/19/2016
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