Whalio Doctors

NPI 1093786980

Robert Charles Buckley, MD

Practitioner Plastic Surgery Physician Tupelo, MS

Practice location

Address
499 Gloster Creek Vlg STE D4, Tupelo, MS 38801-4711
Phone
(662) 377-6630
Fax
(662) 377-6635
Mailing address
450 E President Ave, Tupelo, MS 38801-5599

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 12823 (MS)

Registry record

NPI
1093786980
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jan 2006
Record last updated
19 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.