Individual
TERESA A. BUCKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-5651
(602) 344-5578
Mailing address
PO BOX 5177, PHOENIX, AZ 85010-5177
(602) 344-5651
(602) 344-5578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14781
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278730
—
AS
Enumeration date
05/19/2006
Last updated
07/27/2011
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