Individual
DR. MATTHEW BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5900
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.139660
OH
207L00000X
Anesthesiology Physician
T-2922
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08921288
—
MS
Enumeration date
04/09/2015
Last updated
10/08/2021
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