W. Bruce Bucklew, Md, Pllc

NPI 1093019119 - Clinic/Center - 261QM2500X

NPI Details
NPI 1093019119
Enumeration Date 01/04/2011
Last Updated 01/04/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DD DD
Position CREDENTIALING MANAGER
Phone (928) 402-1168
Fax (928) 402-1119
Practice Location
5860 S HOSPITAL DR
SUITE 106
GLOBE AZ, 85501-9449, US
Phone (928) 402-1168
Fax (928) 402-1119
Business Location
5860 S HOSPITAL DR
SUITE 106
GLOBE AZ, 85501-9449, US
Phone (928) 402-1168
Fax (928) 402-1119
Toxanomy
Taxonomy Code 261QM2500X
License State
License Number
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According to our database, W. Bruce Bucklew, Md, Pllc NPI is 1093019119, taxonomy code is 261QM2500X W. Bruce Bucklew, Md, Pllc physically located at 5860 S Hospital Dr, Globe AZ, 85501-9449. NPI Number 1033115704 has the healthcare provider type.

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1093019119 NPI number is provided on an as is basis without warranty of any kind. 1093019119 is maintained by the National Plan & Provider Enumeration System. The contents of W. Bruce Bucklew, Md, Pllc are for informational purposes only.