Individual
DR. EVAN ANTHONY BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2097
(601) 968-1000
Mailing address
1190 N STATE ST FL 4, JACKSON, MS 39202-2413
(601) 292-4517
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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