Individual
MRS. AMY MARIE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
670 PIERCE BLVD, O FALLON, IL 62269-2579
(618) 206-2070
Mailing address
670 PIERCE BLVD, O FALLON, IL 62269-2579
(618) 206-2070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209005545
IL
Other
Enumeration date
05/06/2008
Last updated
12/29/2021
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