Individual
BRIAN BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WELLNESS WAY, BOX 410, NEAH BAY, WA 98357
(360) 645-2075
Mailing address
100 WELLNESS WAY, BOX 410, NEAH BAY, WA 98357
(360) 645-2075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
CM60387748
WA
363A00000X
Physician Assistant
Primary
PC60387753
WA
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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