Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 19453 | AL |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 19453 | AL |
NPI | 1437128188 |
---|---|
Provider Name | Mr. Steven L Buckley |
First Address | Huntsville, AL 35801 |
Second Address | Huntsville, AL 35801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 19/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09935164 | (05) | AL |
1339206 | UNITED HEALTHCARE (01) | AL |
4141368 | AETNA (01) | AL |
51532166 | BCBS (01) | AL |
D76713 | (02) |