Organization
BUCK & O'ROURKE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL C BUCK M.D. (PRESIDENT)
(207) 784-2554
Entity
Organization
Contact information
Practice address
100 CAMPUS AVE, SUITE 104, LEWISTON, ME 04240-6040
(207) 755-3660
(207) 755-3663
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431980300
—
ME
01
—
DD9277
RR MEDICARE
ME
Enumeration date
12/29/2005
Last updated
08/28/2009
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