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DR. RAPHAEL A BUCKLE MD

Allergy and Immunology

Amory, Mississippi

Provider NPI: 1700867074

Provider Information:
DR. RAPHAEL A BUCKLE MD


Practice Location:
900 EARL FRYE BLVD SUITE A AMORY, MS 38821 US
Tel: 662-256-9331  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XPhysicians
Pediatrics
MS20416
N207K00000XPhysicians
Allergy & Immunology
GA56408
N208000000XPhysicians
Pediatrics
GA56408

Other Provider Identifiers:

IssuerNumberStateType
LEGACY#37BBHBH01
06304211MS05
262717777AGA05
ORG NPI1184881229GA01
GROUP#GRP746201
NPI170086707401
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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