MICHAEL LEE BUCKINGHAM

BOISE, ID
NPI1720095011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA-308)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
-- MICHAEL LEE BUCKINGHAM CRNA
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1136
Mailing Address
-- MICHAEL LEE BUCKINGHAM CRNA
13191 W SCOTFIELD ST
BOISE, ID 83713-0899
Phone number: 208-938-2107
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