Individual
MR. BUCKLEE ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1296 E POLSTON AVE STE C, POST FALLS, ID 83854-5217
(208) 625-6700
(208) 625-6701
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
55069
ID
Other
Enumeration date
03/12/2014
Last updated
04/26/2024
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