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:

Primary	Code	Category/Description	State	License Number
Y	208000000X	Physicians Pediatrics	MS	20416
N	207K00000X	Physicians Allergy & Immunology	GA	56408
N	208000000X	Physicians Pediatrics	GA	56408

Other Provider Identifiers:

Issuer	Number	State	Type
LEGACY#	37BBHBH		01
	06304211	MS	05
	262717777A	GA	05
ORG NPI	1184881229	GA	01
GROUP#	GRP7462		01
NPI	1700867074		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

© Coconut Island Software -- Go Mobile Today!
     contact      copyright stuff      privacy policy           Job Search by

Mobile Websites reach people who are On The Move!    >>  Call Now 805.225.4509