Individual
DR. WILLIAM E. BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
146 RECREATION BUILDING, PENN STATE UNIVERSITY, UNIVERSITY PARK, PA 16802
(814) 865-9730
Mailing address
PO BOX 786, 256 WHITEHILL STREET, LEMONT, PA 16851-0786
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000002A
PA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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