Individual
MR. JOSEPH VICTOR BUCK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
933 LONG BRANCH RD, TROY, IL 62294-3135
(618) 667-9054
Mailing address
933 LONG BRANCH RD, TROY, IL 62294-3135
(618) 667-9054
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
041250591
IL
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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