Individual
MARK KENTON BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2960 N WASHINGTON ST, HELENA, MT 59602-1210
(406) 389-2555
(406) 443-2261
Mailing address
1401 25TH ST S, BMG ADMIN, GREAT FALLS, MT 59405-5183
(406) 731-8888
(406) 731-8318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8420
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000032368
—
MT
01
—
810348783
BILLING TAX I.D.
MT
Enumeration date
10/31/2005
Last updated
10/07/2021
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