Individual
BRIDGET L BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1 EDMUNDSON PL, COUNCIL BLUFFS, IA 51503-4658
(712) 396-4310
(712) 396-7069
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001919
IA
363A00000X
Physician Assistant
1400
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026211300
—
NE
05
—
47068731712
—
NE
05
—
47068731777
—
NE
Enumeration date
09/17/2008
Last updated
07/15/2016
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