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Individual
DONALD CHARLES BUCKLEY
Active
Individual
DONALD CHARLES BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35050437B
OH
208600000X
Surgery Physician
36934
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35050437B
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
36934
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000064646
ANTHEM
—
05
—
0782283
—
OH
05
—
100355170B
—
IN
01
—
1800124
UNITED HEALTHCARE
—
01
—
310804060027
CARESOURCE
—
01
—
50437
CHOICE CARE/HUMANA
—
05
—
64865868
—
KY
01
—
8330
KY BCBS
—
Enumeration date
07/10/2006
Last updated
12/10/2014
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