Individual
WALTER S BUCK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1401 NORTH 5TH STREET, PERKASIE, PA 18944
(215) 257-6315
(215) 453-9030
Mailing address
1401 NORTH 5TH STREET, PERKASIE, PA 18944
(215) 257-6315
(215) 453-9030
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC001455L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC001455L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023124000
BLUE SHILELD
PA
05
—
05007970401
—
PA
01
—
119879
HI MARK BLUE SHIELD
PA
01
—
3218
AETNA
PA
Enumeration date
08/31/2006
Last updated
04/11/2008
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