Individual
AUDREY S BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
920 W IRONWOOD DR, SUITE 101, COEUR D ALENE, ID 83814-2463
(208) 667-4557
(208) 765-2887
Mailing address
920 W IRONWOOD DR, SUITE 101, COEUR D ALENE, ID 83814-2463
(208) 667-4557
(208) 765-2887
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1067
ID
Other
Enumeration date
08/11/2006
Last updated
03/07/2023
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