IndividualActive
Merrick Buckingham
NPI 1659591279 · Surgical Physician Assistant · Albuquerque, NM
Provider details
- NPI number
- 1659591279
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 18180 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1001 Dr Martin Luther King Jr Ave Ne
Albuquerque, NM 87106-4713
Phone: (505) 925-6000
Fax: (505) 925-7849
Approximate (ZIP-level) locationGet directions
Mailing address
933 Bradbury Dr Se
Albuquerque, NM 87106-4374
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2017-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.