Provider Demographics
NPI:1457978934
Name:BUCK, BAILEY CAMILLE (DO)
Entity Type:Individual
Prefix:DR
First Name:BAILEY
Middle Name:CAMILLE
Last Name:BUCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5438 BARN OWL DR
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-4784
Mailing Address - Country:US
Mailing Address - Phone:580-677-2648
Mailing Address - Fax:
Practice Address - Street 1:1585 W LIBERTY RD
Practice Address - Street 2:
Practice Address - City:ATOKA
Practice Address - State:OK
Practice Address - Zip Code:74525-1702
Practice Address - Country:US
Practice Address - Phone:580-889-1981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7381207Q00000X
OK0345R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine