Individual
PHILIP D BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 E HILL AVE, MOSES LAKE, WA 98837-2238
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00030847WA
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055967
—
OR
Enumeration date
06/23/2006
Last updated
09/17/2020
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