Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Larry R Buckley, PA-C, MPA

Individual provider Physician Assistant · NPI 1356330542

Mr. Larry R Buckley, PA-C, MPA is a Physician Assistant in Rolla, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

600 Blues Lake Pkwy
Rolla, MO 65401-8022
Phone: (573) 364-8822
Fax: (573) 341-5969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 112148 (MO)

Record details

NPI number1356330542
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MPA
Sole proprietorNo
NPI enumeratedOctober 19, 2005
Last updated in NPPESNovember 17, 2009

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