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Individual

TAYLOR BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 728-6101
(406) 721-3278
Mailing address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 728-6101
(406) 721-3278

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MED-PHYS-LIC-36012
MT
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MED-PHYS-LIC-36012
MT

Other

Enumeration date
04/02/2009
Last updated
05/20/2019
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