Individual
MR. GEORGE LEE BUCKLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4747 E ELLIOT ROAD, SUITE 32, PHOENIX, AZ 85044-1630
(480) 893-8700
(480) 893-1300
Mailing address
4747 E ELLIOT ROAD, SUITE 32, PHOENIX, AZ 85044-1630
(480) 893-8700
(480) 893-1300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5220 D.C. & 2945 PT
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0933910
BCBS AZ PROVIDER NUMBER
AZ
Enumeration date
11/07/2006
Last updated
07/09/2007
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