Willard B Bucklew
Medical Specialty
Professional ID
- NPI: 1922117753
- PECOS ID: 3072505924
- Enrollment ID: I20091012000328
- Credential(MD, DO, DPM): MD
- Medical School: University Of Southern California School Of Medicine
- Medical School Graduation Year: 1961
Hospital Service
- Hospital CCN1: 031314
- Business Name (LBN)1: Cobre Valley Regional Medical Center
Medical Practices
- Organization Name: W. Bruce Bucklew, Md, Pllc
- Group Practice ID assigned by PECOS: 2365626439
- Number of Group Practice member: 0
Location
- Address1: 1450 E S St
- Address2: Suite 1
- City: Globe
- State: Arizona
- Zip Code: 85501
- Phone Number: (928)402-1168
Location
- Address1: 5860 S Hospital Dr
- Address2: Suite 106
- City: Globe
- State: Arizona
- Zip Code: 85501
- Phone Number: (928)402-1168
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):