| Doctor Name: | MR. THOMAS RAYMOND BUCK |
| NPI Number: | 1851602338 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPA-C |
| License Number: | 008599 |
| Business Practice Address: | 677 Vt Route 7a Shaftsbury, VT - 052629548 |
| Business Phone Number: | 8024428531 |
| Business Fax Number: | 8024421503 |
| Mailing Address: | 677 Vt Route 7a, SHAFTSBURY |
| State: | VT |
| Postal Code: | 052629548 |
| Phone Number: | 8024428531 |
| Fax Number: | 8024421503 |
| NPI Enumeration Date: | 06/29/2010 |
| NPI Last Update Date: | 06/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 008599 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |