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Individual
DR. TIMOTHY NEIL BUCKLEY
Active
Individual
DR. TIMOTHY NEIL BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023222
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188098
L&I/CRIME VICTIMS
WA
05
—
1790745735
—
WA
01
—
4582293
AETNA
WA
01
—
9041BU
REGENCE
WA
Enumeration date
03/24/2006
Last updated
09/22/2010
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