Individual
BAYLEE BUCKLAND
Active
Individual
BAYLEE BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
578041
ID
363AM0700X
Medical Physician Assistant
Primary
6761478
ID
Other
Enumeration date
08/05/2022
Last updated
01/28/2025
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