NPI
Larry R Buckley
NPI 1356330542
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Credential
- PA-C, MPA
- Type
- Individual
- Enumeration date
- 2005-10-19
- Last updated
- 2009-11-17
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Specialties
Licenses
- License MO
- 112148
Location
- Practice location
- 600 Blues Lake Pkwy
- City
- Rolla MO
- Postal code
- 65401-8022
- Phone
- (573) 364-8822
- Fax
- (573) 341-5969
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physician Assistants in Rolla, MO. 17 with this primary taxonomy in the public file.
Other NPIs in Rolla, MO. 861 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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