Individual
DR. STEVEN MARK BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3949 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 279-4882
(816) 279-4008
Mailing address
3404 WATERFORD CT, SAINT JOSEPH, MO 64506-4552
(816) 279-8431
(816) 279-4008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
105609
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001146903
COMMUNITY HEALTH PLAN
MO
01
—
21061107
BCBS OF KC
MO
01
—
2324148
AETNA
MO
05
—
245101613
—
MO
01
—
254381
HEALTHLINK
MO
01
—
431898609
TRICARE
MO
01
—
P00245635
RAILROAD MEDICARE
MO
Enumeration date
05/05/2006
Last updated
02/22/2008
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