JEREMY RAY BUCKNER

MESA, AZ
NPI1104805332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: AZ  7490)
Additional Taxonomies111NR0400X 
(Licence: AZ  4180)
Enumeration Date2006-01-16
Last Update Date2020-11-10
Business Address
JEREMY RAY BUCKNER DC
4540 E BASELINE RD STE 105
MESA, AZ 85206-4616
Phone number: 480-819-0393
Mailing Address
JEREMY RAY BUCKNER DC
PO BOX 11180
TEMPE, AZ 85284-0020
Phone number: 480-897-3300
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