Individual
DR. JILL C. BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 657-8860
(858) 228-1740
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A77631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110077554A
—
MA
Enumeration date
08/05/2006
Last updated
04/27/2018
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