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Individual

DR. RICHARD OTIS BUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2201 WILLAMETTE ST, SUITE C, EUGENE, OR 97405-3091
(541) 683-0730
(541) 683-4411
Mailing address
2201 WILLAMETTE ST, SUITE C, EUGENE, OR 97405-3091
(541) 683-0730
(541) 683-4411

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD11569
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030005151
RAILROAD MEDICARE
OR
05
041764
OR
01
831390001
BLUE CROSS
01
C92307
PROVIDENCE
Enumeration date
12/29/2005
Last updated
05/02/2008
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