Organization
MAT-SU NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DWIGHT BUCKLAND D.O. (MEMBER)
(734) 657-3942
Entity
Organization
Contact information
Practice address
950 E BOGARD RD, SUITE 213, WASILLA, AK 99654-7184
(734) 657-3942
Mailing address
950 E BOGARD RD, SUITE 213, WASILLA, AK 99654-7184
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
992389
AK
Other
Enumeration date
08/03/2013
Last updated
08/03/2013
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