person
Mr. William Edward Buckett, PHYSICIANASSISTANT
Medical Physician Assistant in Centralia, Illinois
NPI 1851481824

William Edward Buckett is a Medical Physician Assistant based in Centralia, IL and is specialized in Medical. William Edward Buckett practices in Centralia, IL and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for William Edward Buckett is 1851481824 and holds a License No. 009118 (Illinois).

The current practice location address for William Edward Buckett is 1054 Martin Luther King Dr, Centralia, IL and can be reached out via phone at 618-533-8700 and via fax at 618-533-8701.

Location: 1054 Martin Luther King Dr, Centralia, IL, 62801-3000
person
Provider Profile Details
NPI Number
1851481824
Provider Name
William Edward Buckett
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
1054 Martin Luther King Dr, Centralia, IL, 62801-3000
Phone Number
618-533-8700
Fax Number
618-533-8701
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1054 Martin Luther King Dr
City
State
Zip
62801-3000
Phone Number
618-533-8700
Fax Number
618-533-8701
person
Provider Business Mailing Address Details
Address
1054 Martin Luther King Dr
City
State
Zip
62801-3000
Phone Number
618-533-8700
Fax Number
618-533-8701
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
009118 (New York)
Definition
Definition to come...
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