Organization · NPI-2

Buck Healthcare LLC

Physical Medicine & Rehabilitation, Pain Medicine · Phoenix, AZ

NPI number1003237801
StatusActive
Last updated in NPPESDec 20, 2013

Details

NPI
1003237801
Entity type
Organization (NPI-2)
Legal business name
Buck Healthcare LLC
Organization subpart
No
Enumeration date
Dec 20, 2013
Last updated
Dec 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine–AZYes
363LF0000X Nurse Practitioner, Family–AZ
364SF0001X Clinical Nurse Specialist, Family Health–AZ

Practice location

10046 N Metro Pkwy W
Suite 115
Phoenix, AZ 85051-1437

Phone 602-674-5515 · Fax 602-674-3029

Mailing address

1001 E Warner Rd
Ste 107
Tempe, AZ 85284-3224

Phone 480-897-3300 · Fax 480-897-3312

Authorized official

Jeremy Buckner
Ceo
4808973300

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