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Individual
JAMES RUSSELL BUCK
Active
Individual
JAMES RUSSELL BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
D0016954
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100521
KAISER
MD
01
—
10225716
AMERIGROUP
MD
01
—
2230415
AETNA HMO
MD
05
—
311731600
—
MD
01
—
4140449
AETNA NON HMO
MD
01
—
51774
UHC/MAMSI
MD
01
—
LN89CH/30516006
CAREFIRST OF MD
MD
01
—
T409/0001
CAREFIRST REGIONAL
MD
Enumeration date
03/20/2007
Last updated
01/25/2013
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