Individual provider · Type 1 NPI
Dalton Buckman
Student in an Organized Health Care Education/Training Program · Mocksville, NC
NPI number
1811569726
Active
Practice location
186 Linda Ln
Mocksville, NC 27028-9400
Mailing address
1 University Pkwy
High Point, NC 27268-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1811569726
Dalton Buckman's National Provider Identifier is 1811569726, issued on Jul 12, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mocksville, NC. The record was last updated on Jul 12, 2021.