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Individual
DR. RICHARD OTIS BUCK
Active
Individual
DR. RICHARD OTIS BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD11569
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030005151
RAILROAD MEDICARE
OR
05
—
041764
—
OR
01
—
831390001
BLUE CROSS
—
01
—
C92307
PROVIDENCE
—
Enumeration date
12/29/2005
Last updated
05/02/2008
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