Individual
MARY J BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 724-0207
Mailing address
PO BOX 6327, AURORA, CO 80045-0327
(303) 724-0207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
84903
CO
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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