Individual
ELIZABETH ANNE BUCKALEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
NAVAL HOSPITAL TWENTYNINE PALMS, 1145 STURGIS RD, TWENTYNINE PALMS, CA 92278
(760) 830-2117
Mailing address
NAVAL HOSPITAL TWENTYNINE PALMS, 1145 STURGIS RD, TWENTYNINE PALMS, CA 92278
(760) 830-2117
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP60213441
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2008
Last updated
02/23/2022
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