Individual
JIM A BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 SOUTH MAIN STREET, STE C, FAIRFIELD, IA 52556-3739
(641) 472-4141
Mailing address
2000 SOUTH MAIN STREET, STE C, FAIRFIELD, IA 52556-3739
(641) 472-4141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23255
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198564
—
IA
Enumeration date
08/25/2006
Last updated
07/22/2009
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