Individual
STANLEY W BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11125 DUNN RD, STE 304, ST LOUIS, MO 63136
(314) 355-1166
(314) 355-4385
Mailing address
11125 DUNN RD, STE 304, ST LOUIS, MO 63136
(314) 355-1166
(314) 355-4385
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036068435
IL
207RN0300X
Nephrology Physician
Primary
MDR8729
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201520111
—
MO
Enumeration date
02/01/2006
Last updated
02/20/2024
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