Irene Buckner M.D.

NPI 1003836669 - Specialist - 174400000X

NPI Details
NPI 1003836669
Gender Female
Enumeration Date 07/19/2006
Last Updated 08/19/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
785 OHIO AVE STE 2B
CLARKSDALE MS, 38614-6216, US
Phone (662) 624-5481
Fax
Business Location
785 OHIO AVE STE 2B
CLARKSDALE MS, 38614-6216, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State Mississippi
License Number 16074
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According to our database, Irene Buckner M.D. NPI is 1003836669, taxonomy code is 174400000X and license number is 16074, license state is located at Mississippi. Irene Buckner M.D. physically located at 785 Ohio Ave Ste 2b, Clarksdale MS, 38614-6216. NPI Number Irene Buckner M.D. has the Individual type.

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1003836669 NPI number is provided on an as is basis without warranty of any kind. 1003836669 is maintained by the National Plan & Provider Enumeration System. The contents of Irene Buckner M.D. are for informational purposes only.