Most Relevant Information
Provider Data
| NPI Number: | 1003557679 |
| Provider Name: | RALPH BUCK SA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2022 |
| Last Updated: | 04/06/2022 |
Provider Practice Location
29253 US HIGHWAY 19 N
CLEARWATER
FL
337612102
Practice Location Phone/Fax
| Phone: | 7273134764 |
| Fax: |
Provider Mailing Location
7324 SOUTHWEST FWY
HOUSTON
TX
770742012
Provider Mailing Phone/Fax
| Phone: | 7137799800 |
| Fax: |