Individual
TARA LYNN BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 S CLARK ST, BUTTE, MT 59701-2328
(303) 914-8800
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-89207
MT
363A00000X
Physician Assistant
PA179347
OR
Other
Enumeration date
07/04/2016
Last updated
09/06/2024
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