MEDICARE: DR. FRANCES MARKS BUCK PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	161	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	50721	OTHER	MO	BCBS

General Provider Information

NPI Number	:	1184620932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCES MARKS BUCK PHD

Provider Business Mailing Address
First Line	:	1018 BURLINGTON AVE
Second Line	:	STE 101
City	:	MISSOULA
State	:	MT
Zip	:	59801-5666
Country	:	US
Telephone Number	:	406-549-9404
Fax Number	:

Provider Business Practice Location Address
First Line	:	1018 BURLINGTON AVE
Second Line	:	STE 101
City	:	MISSOULA
State	:	MT
Zip	:	59801-5666
Country	:	US
Telephone Number	:	406-549-9404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	07/08/2007

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