Buckley, Robert Grant

Buckley, Robert Grant is an individual health care provider with primary practice located at 34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services, San Diego CA 92134-1098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Buckley, Robert Grant can be contacted via phone (619) 532-8276.

Contact Information

Primary practice address
34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services San Diego CA 92134-1098
Phone: (619) 532-8276
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G063633 California

Profile Details

NPI number 1194796417
LBN Legal business name Buckley, Robert Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated May 21st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194796417 NPPES
California MEDICAID 00G636330

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