Individual
ZACHARY D BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2001 S WOODRUFF AVE STE 15B, IDAHO FALLS, ID 83404-6372
(208) 357-4633
Mailing address
4137 E 132 N, RIGBY, ID 83442-5813
(208) 570-7944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6671238
ID
Other
Enumeration date
11/19/2024
Last updated
12/03/2024
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