Provider Demographics
NPI:1073716205
Name:BUCKLEY, FIONA MARGARET (MD)
Entity Type:Individual
Prefix:MS
First Name:FIONA
Middle Name:MARGARET
Last Name:BUCKLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-3705
Mailing Address - Country:US
Mailing Address - Phone:406-600-0493
Mailing Address - Fax:
Practice Address - Street 1:BOZEMAN DEACONESS HOSPITAL
Practice Address - Street 2:915 HIGHLAND BLVD
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715
Practice Address - Country:US
Practice Address - Phone:406-585-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT11381207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology