Individual
MADISON H BUCKLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 HUMPHREYS CTR, SUITE 23, MEMPHIS, TN 38120-2369
(901) 226-0810
(901) 383-8985
Mailing address
P.O. BOX 1000, DEPT 34, MEMPHIS, TN 38148-0001
(901) 383-8860
(901) 383-8985
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD004532
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116063
—
MS
05
—
106855001
—
AR
05
—
201028107
—
MO
05
—
3035193
—
TN
Enumeration date
06/01/2006
Last updated
03/02/2011
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