Mary Bucknam, P.A.
NPI #1104906726 in Ithaca, New York
Provider Information
- NPI Number
- 1104906726
- Entity Type
- Individual
- Name
- Mary Bucknam, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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