Individual
MR. CHRISTOPHER JOHN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2410 SONOMA ST STE 1, REDDING, CA 96001-3029
(530) 680-3831
Mailing address
2410 SONOMA ST STE 1, REDDING, CA 96001-3029
(530) 680-3831
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA15359
CA
363AM0700X
Medical Physician Assistant
Primary
15359
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA15359
—
CA
Enumeration date
11/02/2006
Last updated
09/09/2024
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