Individual
MS. TERESA L BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6905 HOSPITAL DR STE 130, DUBLIN, OH 43016-9600
(614) 923-0300
(614) 914-0400
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(419) 520-2495
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50.000533
OH
363AM0700X
Medical Physician Assistant
Primary
50.000533RX
OH
Other
Enumeration date
06/28/2006
Last updated
01/13/2022
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