MR. Adair Rutherford Buckner I, PHYSICIAN ASSISTANT
NPI #1912198201 in Rialto, California
Provider Information
- NPI Number
- 1912198201
- Entity Type
- Individual
- Name
- MR. Adair Rutherford Buckner I, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Aug 5, 2007
- Last Updated
- Aug 5, 2007
Practice Location
- Address
- 775 W HEATHER ST
- City
- Rialto
- State
- California
- ZIP Code
- 92376-2677
- Phone
- (909) 875-4286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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