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Individual
DR. TONDRE BUCK
Active
Individual
DR. TONDRE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-1784
MS
207RH0000X
Hematology (Internal Medicine) Physician
39391
SC
207RH0003X
Hematology & Oncology Physician
19846
MS
207RH0003X
Hematology & Oncology Physician
Primary
39391
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07431002
—
MS
05
—
2359665
—
LA
05
—
393915
—
SC
01
—
SC86473365
MEDICARE PIN
SC
Enumeration date
05/24/2007
Last updated
06/21/2021
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