# RYAN P BUFFALO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447359922
- **Authorized official:** RYAN P BUFFALO MD (MEDICAL DOCTOR)
- **Authorized official phone:** (501) 352-5800

## Contact information

- **Practice address:** 2725 HIGHWAY 25 B NORTH, HEBER SPRINGS, AR 72543
- **Practice address phone:** (501) 352-5800
- **Mailing address:** PO BOX 1148, HEBER SPRINGS, AR 72543-1148
- **Mailing address fax:** (501) 362-5818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 12/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 145515002 | — | AR |