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Individual
PHILIP P BUCK
Active
Individual
PHILIP P BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5395
AZ
363A00000X
Physician Assistant
PA02760
TX
363AM0700X
Medical Physician Assistant
101930
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188723
MEDCOST
NC
01
—
201234
MEDCOST
NC
05
—
847347
—
AZ
Enumeration date
03/28/2006
Last updated
06/22/2021
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