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1417147588
FRED R BUCKHOLD
SAINT LOUIS, MO
NPI
1417147588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2010003401)
Enumeration Date
2007-07-25
Last Update Date
2021-02-01
Business Address
Dr. FRED R BUCKHOLD M.D.
1225 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-977-0069
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Mailing Address
Dr. FRED R BUCKHOLD M.D.
1402 S GRAND BLVD INTERNAL MEDICINE - FDT 12TH FLOOR
SAINT LOUIS, MO 63104-1004
Phone number: 314-577-6095
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