Individual
MICHAEL BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 N NARCISSUS AVE, BROKEN ARROW, OK 74012-1469
(918) 210-6831
Mailing address
1033 N NARCISSUS AVE, BROKEN ARROW, OK 74012-1469
(918) 210-6831
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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