Provider Demographics
NPI:1770180036
Name:BUECHLER, QUINCEY (PA)
Entity type:Individual
Prefix:
First Name:QUINCEY
Middle Name:
Last Name:BUECHLER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:QUINCEY
Other - Middle Name:
Other - Last Name:POPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:2900 12TH AVE N STE 503E
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7502
Mailing Address - Country:US
Mailing Address - Phone:406-237-5780
Mailing Address - Fax:406-237-5785
Practice Address - Street 1:2900 12TH AVE N STE 503E
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7502
Practice Address - Country:US
Practice Address - Phone:406-237-5780
Practice Address - Fax:406-237-5785
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT91038363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant