Individual
EMILY BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 KOALA DR, OMAK, WA 98841-9247
(509) 422-5700
(509) 422-7674
Mailing address
1003 KOALA DR, OMAK, WA 98841-9247
(509) 422-5700
(855) 204-8902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-1953
ID
363A00000X
Physician Assistant
Primary
PA61199179
WA
Other
Enumeration date
12/14/2020
Last updated
12/20/2021
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