Individual provider · NPI-1

Dr. Christopher Scott Buckles, D.O.

Internal Medicine · Saint Cloud, MN

NPI number1790947901
StatusActive
Last updated in NPPESFeb 22, 2017

Details

NPI
1790947901
Entity type
Individual (NPI-1)
Name
Dr. Christopher Scott Buckles
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 29, 2008
Last updated
Feb 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2012012992MOYes

Practice location

4801 Veterans Dr
Saint Cloud, MN 56303-2015

Phone 320-252-1670

Mailing address

4801 Veterans Dr
Saint Cloud, MN 56303-2015

Phone 320-252-1670

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