Individual
ROBERT L BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
56 DUTCH LN, COLUMBUS, MS 39702-5500
(662) 329-3808
(662) 329-3873
Mailing address
56 DUTCH LN, COLUMBUS, MS 39702-5500
(662) 329-3808
(662) 329-3873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06164
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112393
—
MS
Enumeration date
02/08/2006
Last updated
03/09/2011
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