Individual
BEVERLY S BUCKELEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT (R)(M)(CT)
Contact information
Practice address
3015 WOLF RUN, POPLAR BLUFF, MO 63901-9366
(573) 714-3650
Mailing address
3015 WOLF RUN, POPLAR BLUFF, MO 63901-9366
(573) 714-3650
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
—
—
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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