DR. NEILLY BUCKALEW, M.D.

Physical Medicine & Rehabilitation

Active Individual
NPI: 1811214786

Practice Address

3330 N GRAND MILL LN
Coeur D Alene, ID 83814

Phone: (208) 777-5511

Specialties

Specialty Code Primary License
Physical Medicine & Rehabilitation 208100000X Yes 15303 (ND)
Student in an Organized Health Care Education/Training Program 390200000X No MT197074 (PA)

Frequently Asked Questions

NPI 1811214786 is the National Provider Identifier for DR. NEILLY BUCKALEW, M.D., a Physical Medicine & Rehabilitation provider located in Coeur D Alene, ID. This NPI was enumerated on April 30, 2010.
DR. NEILLY BUCKALEW, M.D. practices at 3330 N GRAND MILL LN, Coeur D Alene, ID 83814.

Quick Facts

NPI
1811214786
Type
Individual
Enumerated
Apr 30, 2010
Last Updated
Oct 17, 2023

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