Brian Buckrop

NPI #1932378221 in Moline, Illinois

Provider Information

NPI Number: 1932378221
Entity Type: Organization
Organization Name: Brian Buckrop
Primary Specialty: Podiatrist
Enumeration Date: Feb 21, 2008
Last Updated: Feb 29, 2008

Practice Location

Address: 2102 47TH ST
City: Moline
State: Illinois
ZIP Code: 61265-3664
Phone: (309) 797-6565

Authorized Official

Name: MRS. JANE FOREST
Title: INSURANCE CLERK
Phone: (309) 797-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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