Individual
LARRY C BUCK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
199 N FLORISSANT RD, FERGUSON, MO 63135-1976
(314) 449-9640
(314) 449-9642
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019024147
MO
Other
Enumeration date
05/27/2016
Last updated
09/24/2025
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