Organization
ALICE BUCKLEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE BUCKLEY MD (PRESIDENT)
(702) 294-1919
Entity
Organization
Contact information
Practice address
1297 NEVADA HWY STE A, BOULDER CITY, NV 89005-1854
(702) 294-1919
(702) 294-0072
Mailing address
1297 NEVADA HWY STE A, BOULDER CITY, NV 89005-1854
(702) 294-1919
(702) 294-0072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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