MEDICARE: DR. PATRICIA DIANE BUCK DC

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	111N00000X	Chiropractor	006231	MO

General Provider Information

NPI Number	:	1871563288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA DIANE BUCK DC

Provider Business Mailing Address
First Line	:	424 COURT ST
Second Line	:
City	:	SAVANNAH
State	:	MO
Zip	:	64485-1652
Country	:	US
Telephone Number	:	816-324-5307
Fax Number	:

Provider Business Practice Location Address
First Line	:	424 COURT ST
Second Line	:
City	:	SAVANNAH
State	:	MO
Zip	:	64485-1652
Country	:	US
Telephone Number	:	816-324-5307
Fax Number	:

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

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. PATRICIA DIANE BUCK DC” Practice Location

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