Most Relevant Information
Provider Data
| NPI Number: | 1003836669 |
| Provider Name: | IRENE BUCKNER M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 16074 |
Most Important Dates
| Enumeration Date: | 07/19/2006 |
| Last Updated: | 01/14/2019 |
Provider Practice Location
1967 HOSPITAL DR
CLARKSDALE
MS
38614
Practice Location Phone/Fax
| Phone: | 6626245481 |
| Fax: |
Provider Mailing Location
1967 HOSPITAL DR
CLARKSDALE
MS
386147203
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |