Healthcare Provider Details

I. General information

NPI: 1770180036
Provider Name (Legal Business Name): QUINCEY BUECHLER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: QUINCEY POPE PA

II. Dates (important events)

Enumeration Date: 10/08/2020
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 12TH AVE N STE 503E
BILLINGS MT
59101-7502
US

IV. Provider business mailing address

2900 12TH AVE N STE 503E
BILLINGS MT
59101-7502
US

V. Phone/Fax

Practice location:
  • Phone: 406-237-5780
  • Fax: 406-237-5785
Mailing address:
  • Phone: 406-237-5780
  • Fax: 406-237-5785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number91038
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: