Individual
FREDERICK PETER BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00016160
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230775
L&I
WA
01
—
1337
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
1871683730
—
WA
Enumeration date
10/13/2006
Last updated
11/20/2012
Update your record
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