Individual
COREY ALLEN BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1655 N GLADSTONE AVE STE E, COLUMBUS, IN 47201-5380
(812) 669-3687
(812) 669-4835
Mailing address
1655 N GLADSTONE AVE STE E, COLUMBUS, IN 47201-5380
(812) 669-3687
(812) 669-4835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011570A
IN
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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