IndividualActive
Preston Buckley
NPI 1205766243 · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Twin Falls, ID
Provider details
- NPI number
- 1205766243
- Entity type
- Individual
- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- VR109587E (ID)
Specialties & taxonomies
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianPrimary207PE0005XLicense VR109587E (ID)
Allopathic & Osteopathic Physicians
Practice location
608 Shoup Ave W
Twin Falls, ID 83301-4550
Phone: (208) 410-3578
Approximate (ZIP-level) locationGet directions
Mailing address
1576 Valencia St
Twin Falls, ID 83301-5657
Registry dates
- Enumerated
- 2026-05-21
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.