Individual
DR. BRENDA ANN BUCKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40512
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029449
KAISER COMMERCIAL NUMBER
CO
05
—
70224749
—
CO
Enumeration date
08/20/2006
Last updated
09/07/2023
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