Individual provider · Type 1 NPI

Michael L. Puckett, MD

Diagnostic Radiology Physician · San Diego, CA

NPI number 1043284235 Active

Practice location

8745 Aero Dr, Suite 200
San Diego, CA 92123-1774

Call (858) 565-0950 Map

Fax (858) 244-1100

Mailing address

PO Box 23540
San Diego, CA 92193-3540

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XG64723 (CA)
Body Imaging Physician 2085B0100XG64723 (CA)
Diagnostic Ultrasound Physician 2085U0001XG64723 (CA)
Neuroradiology Physician 2085N0700XG64723 (CA)
Nuclear Radiology Physician 2085N0904XG64723 (CA)
Pediatric Radiology Physician 2085P0229XG64723 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1043284235

Michael L. Puckett, MD's National Provider Identifier is 1043284235, issued on Feb 14, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Diego, CA. The record was last updated on Oct 10, 2007.