Buck, Michael Gurdon

Buck, Michael Gurdon is an individual health care provider with primary practice located at 1587 N Bolton Ave Suite 1100, Alexandria LA 71303-4217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Buck, Michael Gurdon can be contacted via phone (318) 473-4500.

Contact Information

Primary practice address
1587 N Bolton Ave Suite 1100 Alexandria LA 71303-4217
Phone: (318) 473-4500
Fax: (318) 445-1509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 015029 Louisiana

Profile Details

NPI number 1063402667
LBN Legal business name Buck, Michael Gurdon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Feb 28th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063402667 NPPES
Other 5J260 MEDICARE PTAN
MEDICAID 1318469 MEDICARE PTAN

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