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

DR. NEILLY ANN BUCKALEW, M.D.

Active

Physical Medicine & Rehabilitation · COEUR D ALENE, ID

Registration Details

NPI Number
1811214786
Provider Type
Individual
Gender
Female
NPI Issued
Apr 30, 2010 (16.018202828954 yrs)
Last Updated
Oct 17, 2023
Licenses
MD455877 (PA)
54367 (MN)
105626 (MN)
MT197074 (PA)
15303 (ND)

Practice Information

Address
3330 N GRAND MILL LN
COEUR D ALENE, ID, 838145689
Browse ID providers · Browse ZIP 83814
Phone
2087775511
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in COEUR D ALENE, ID

Name Credential NPI
DR. JAMIE GLEN HOUSE M.D. 1205816782
MICHAEL A LUDWIG MD 1245330208
YVONNE L ELLIOTT P.T. 1992900245
ERIN BLAKLEY 1750871349
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.