NPI 1427042134
Buckner Prosthetic and Orthotic Laboratories INC.
Practice location
- Address
- 2 Old River Pl Suite D, Jackson, MS 39202-3435
- Phone
- (601) 944-1130
- Fax
- (601) 355-7476
Authorised official
- Name
- Martin L Buckner
- Title
- Owner
- Phone
- (601) 944-1130
Registered specialties (2)
Orthotist
Primary
Prosthetist
Registry record
- NPI
- 1427042134
- Entity type
- Organization
- NPI issued
- 8 Sep 2005
- Record last updated
- 4 Oct 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.