NPI 1265919120

Samuel Lee Buckley, EMT

Practitioner Basic Emergency Medical Technician Pontiac, MI

Practice location

Address: 1200 N Telegraph Rd # Bdlg32e, Pontiac, MI 48341-1032
Phone: (248) 451-2600

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 1921745 (MI)

Other Emergency Medical Technician, Basic providers in Michigan →

Registry record

NPI: 1265919120
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2018
Record last updated: 24 Jul 2018

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.