Individual provider · Type 1 NPI

Merrick Buckingham

Surgical Physician Assistant · Albuquerque, NM

NPI number 1659591279 Active

Practice location

1001 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87106-4713

Call (505) 925-6000 Map

Fax (505) 925-7849

Mailing address

933 Bradbury Dr SE, Suite 2222
Albuquerque, NM 87106-4374

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X18180 (CA)
Surgical Physician Assistant Primary 363AS0400XPA2010-0054 (NM)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

Other surgical physician assistant providers in Albuquerque

See all in Albuquerque →

About NPI 1659591279

Merrick Buckingham's National Provider Identifier is 1659591279, issued on Apr 26, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 22, 2017.