Individual
DEREK S BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DC
Contact information
Practice address
111E SANDERS LN, BLUEFIELD, VA 24605
(540) 552-7133
(540) 552-7143
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101251939
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182259001
—
AR
Enumeration date
05/02/2008
Last updated
08/08/2018
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