NPI | 1639732704 |
---|---|
Other Name | BUCK COURTNEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2023-1196) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-15409) |
Enumeration Date | 2019-04-15 |
Last Update Date | 2024-11-14 |