DARYL QUINTIN BUCKELEW

SHREVEPORT, LA
NPI1588600662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: LA  340576)
Additional Taxonomies207RG0100X Internal Medicine, Gastroenterology
(Licence: TX  K6994)
Enumeration Date2006-06-20
Last Update Date2024-07-02
Business Address
DARYL QUINTIN BUCKELEW M.D.
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
Mailing Address
DARYL QUINTIN BUCKELEW M.D.
PO BOX 38150
SHREVEPORT, LA 71133-8150
Phone number: 318-631-9121
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