Search › California › 1710I1002X
Tavis Buckingham, IDC
NPI 1659587871 · on the registry since 2007 · sole proprietor
Practice
- Address
- Uss New Orleans (Lpd 18) Fpo Ap 96673-1701
Commanding Officer
San Diego, CA 92123 - Phone
- (619) 849-1480
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California