Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LARRY R BUCKLEY, PA-C, MPA

Active

MR. LARRY R BUCKLEY, PA-C, MPA is a Physician Assistant healthcare provider located in ROLLA, Missouri. NPI 1356330542 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ROLLA, MO

Registration Details

NPI Number: 1356330542
Provider Type: Individual
Gender: Male
NPI Issued: Oct 19, 2005 (20.78096800502 yrs)
Last Updated: Nov 17, 2009
License: 112148 (MO)

Practice Information

Address: 600 BLUES LAKE PKWY

ROLLA, MO, 654018022
Browse MO providers · Browse ZIP 65401
Phone: 5733648822
Fax: 5733415969
Primary Specialty: Physician Assistant
363A00000X

Other Physician Assistant Providers in ROLLA, MO

Name	Credential	NPI
MS. LESA ELAINE DAVIS	PA C	1720025216
MS. HOLLY L. ERWAY	PA	1346286887
ALLISON ROWDEN	P.A.	1457375891
TRACY L. FAIR-PARSONS	PA-C	1568537181
MR. BRETT BENSON CLAYTON	PA-C	1780839753
MRS. JENNIFER LYNN BREMER	P.A.	1053638577

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.