MR. LARRY R BUCKLEY PA-C, MPA - NPI 1356330542 - Physician Assistant in Rolla, MO

Q: What is Larry Buckley's NPI number?

The NPI number for Larry Buckley is 1356330542. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Q: What is Larry Buckley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Buckley was last updated on November 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mr. Larry R Buckley Pa-c, Mpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY R BUCKLEY PA-C, MPA (NPI 1356330542) is an individual physician assistant in Rolla, Missouri, licensed in Missouri (112148) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1356330542

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. LARRY R BUCKLEYCredential: PA-C, MPA

Location Address600 BLUES LAKE PKWYRolla, MO 65401-8022

Mailing Address600 Blues Lake PkwyRolla, MO 65401-8022 · (573) 364-8823 · Fax (573) 341-5969

Phone(573) 364-8822

Fax(573) 341-5969

Sole ProprietorNo

Enumeration DateOctober 19, 2005

Last NPPES UpdateNovember 17, 2009

✔ NPI 1356330542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MO · 112148

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

600 BLUES LAKE PKWY, Rolla, MO 65401

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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