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Contact Information

CARLY P BUCKINGHAM, DO
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM87102-3619
 Phone: 505-727-7317
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CARLY P BUCKINGHAM · (Female)

NPI # 1710374798
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/17/2015
Last updated 09/29/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 008024
  • NM License # A223019
Hospital affiliation(s)
  • NORTHWEST MEDICAL CENTER - (Acute Care)
    6200 NORTH LA CHOLLA BOULEVARD
    TUCSON, AZ 85741
  • PARADISE VALLEY HOSPITAL - (Acute Care)
    3929 EAST BELL ROAD
    PHOENIX, AZ 85032
  • PHOENIX BAPTIST HOSPITAL - (Acute Care)
    2000 WEST BETHANY HOME ROAD
    PHOENIX, AZ 85015
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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