Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | SL0646 | NV |
N | 111NI0900X | Internist | SL0646 | NV |
Y | 207RH0003X | Hematology & Oncology | DR.0062639 | CO |
N | 207RX0202X | Medical Oncology | 5355 | OK |
NPI | 1114157195 |
---|---|
Provider Name | Dr. Dennis Andrew Buck |
First Address | Pagosa Springs, CO 81147-8329 |
Second Address | Pagosa Springs, CO 81147-8329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2009 |
Last Update Date | 01/03/2021 |