Individual
DR. ROBERT EDWARD BUCLAW III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1707 S 341ST PL STE A, FEDERAL WAY, WA 98003-6867
(253) 632-5320
(253) 214-7444
Mailing address
PO BOX 23955, FEDERAL WAY, WA 98093-0955
(253) 632-5320
(253) 214-7444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1464
NM
111N00000X
Chiropractor
5690
CO
111N00000X
Chiropractor
Primary
CH00034618
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0346489
WA STATE LABOR AND INDUSTRY PIN
WA
Enumeration date
09/21/2006
Last updated
01/16/2020
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