Organization
CALGARY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BUCKNER DC (MANAGER)
(602) 889-5833
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD, SUITE 105, MESA, AZ 85206-4613
(480) 272-8944
(480) 237-5682
Mailing address
4540 E BASELINE RD, SUITE 105, MESA, AZ 85206-4613
(480) 272-8944
(480) 237-5682
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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