Individual
MR. THOMAS RAYMOND BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
677 VT ROUTE 7A, SHAFTSBURY, VT 05262-9548
(802) 442-8531
(802) 442-1503
Mailing address
677 VT ROUTE 7A, SHAFTSBURY, VT 05262-9548
(802) 442-8531
(802) 442-1503
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0031117
VT
363AM0700X
Medical Physician Assistant
008599
NY
Other
Enumeration date
06/29/2010
Last updated
06/05/2012
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