Organization
MOUNTAIN VIEW PHYSIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEILLY BUCKALEW MD (PHYSICIAN/CO-OWNER)
(208) 777-5511
Entity
Organization
Contact information
Practice address
1138 E POLELINE AVE, POST FALLS, ID 83854-6150
(208) 777-5511
(724) 426-8936
Mailing address
1869 E SELTICE WAY # 531, POST FALLS, ID 83854-7019
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
12/18/2023
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