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Individual
MANUEL M BUITRAGO BLANCO
Active
Individual
MANUEL M BUITRAGO BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, PH.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
A122210
CA
2084N0400X
Neurology Physician
A122210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033386537
MEDI CAL
CA
Enumeration date
05/13/2008
Last updated
01/15/2020
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