Randy L Buckner in Olympia - Family Medicine

Randy L Buckner - NPI 1841207792

Randy L Buckner is a Family Medicine in Olympia, Washington. Randy L Buckner practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Randy L Buckner is 1841207792. The last update date is 2007-07-09.

Randy L Buckner's current location address is 402 Black Hills Ln Sw Ste B, Olympia, Washington. You can contact this provider via phone number 3607544837 and fax number 3607547304. The mailing address for Randy L Buckner is 402 Black Hills Ln Sw Ste B, Olympia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy L Buckner
Address 402 Black Hills Ln Sw Ste B, Olympia, Washington
Phone Number 3607544837
Fax Number 3607547304
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1841207792
Provider Enumeration Date 2006-08-02
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 402 Black Hills Ln Sw Ste B
City Olympia
State Washington (WA)
Post Code 985028146
Phone Number 3607544837
Fax Number 3607547304

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No WAOP00001204
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1106996 WA --
127421 WA L&I
BU9119 WA REGENCE

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FAQs about Randy L Buckner

What is the unique identifier code issued to Randy L Buckner by the Centers for Medicare & Medicaid Services?

The Randy L Buckner has been assigned the NPI (National Provider Identifier) 1841207792. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Randy L Buckner's facilities are situated?

The facilities of Randy L Buckner are physically located at the following address: 402 Black Hills Ln Sw Ste B, Olympia, WA, 985028146.

What is the Randy L Buckner's specialty and taxonomy code?

The Randy L Buckner's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Randy L Buckner receive the assignment of its 1841207792 from the Centers for Medicare & Medicaid Services?

The Randy L Buckner was issued its 1841207792 by the Centers for Medicare & Medicaid Services on 2006-08-02.

When was the Randy L Buckner's information last updated?

The Randy L Buckner's information was last updated on 2007-07-09.

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