DARYL QUINTIN BUCKELEW M.D.
Individual Provider (NPI-1)
Active
Internal Medicine, Gastroenterology
Provider Information
- NPI Number
1588600662- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 3217 MABEL ST, SHREVEPORT, LA, 711034022
- Phone
- (318) 631-9121
- Fax
- (318) 631-9126
Specialties & Taxonomies
Internal Medicine, Gastroenterology
License: TX #K6994
Internal Medicine, Gastroenterology
Primary License: LA #340576