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1588646624

NPI Code Detail

MEDICARE: ROBERT EDWARD BUCKNER II MD

MEDICARE: ROBERT EDWARD BUCKNER II MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD427712	PA
2	207P00000X	Emergency Medicine Physician	26116	WV
3	207P00000X	Emergency Medicine Physician	ME133200	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588646624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT EDWARD BUCKNER II MD

Provider Business Mailing Address
First Line	:	320 E NORTH AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4756
Country	:	US
Telephone Number	:	412-359-4138
Fax Number	:	412-359-8874

Provider Business Practice Location Address
First Line	:	100 MEDICAL BLVD
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-9762
Country	:	US
Telephone Number	:	724-745-3077
Fax Number	:	724-746-8579

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	04/04/2024

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Directions to “ ROBERT EDWARD BUCKNER II MD” Practice Location

Language	Start Address	Practice Location

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