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Individual

CARIE DANIEL BUCKLEY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
70 MEDICAL CENTER CIR, SUITE 208, FISHERSVILLE, VA 22939-2273
(540) 332-5926
(540) 332-5930
Mailing address
70 MEDICAL CENTER CIR, SUITE 208, FISHERSVILLE, VA 22939-2273
(540) 332-5926
(540) 332-5930

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101033256
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011346
BCBS ANTHEM
VA
Enumeration date
10/11/2005
Last updated
03/12/2008
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