NPI 1003557679

Ralph Buck, SAC

Practitioner Surgical Physician Assistant Clearwater, FL

Practice location

Address: 29253 US Highway 19 N, Clearwater, FL 33761-2102
Phone: (727) 313-4764
Mailing address: 7324 Southwest Fwy, Houston, TX 77074-2012

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

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Registry record

NPI: 1003557679
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2022
Record last updated: 6 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.