Doctor Name: | MR. KLAYTON BUCKLEY |
NPI Number: | 1396141867 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCP |
License Number: | 214000204 |
Business Practice Address: | 1400 S Dobson Rd Mesa, AZ - 852024707 |
Business Phone Number: | 4804126336 |
Business Fax Number: | |
Mailing Address: | 1400 S Dobson Rd, MESA |
State: | AZ |
Postal Code: | 852024707 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/11/2014 |
NPI Last Update Date: | 11/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 242T00000X |
License Number: | 214000204 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Perfusionist |
Taxonomy Specialization: | |
Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |