Individual
GARY A BUXA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3305 PLACER ST, STE A, REDDING, CA 96001-2364
(530) 243-3687
(530) 243-3383
Mailing address
3305 PLACER ST, STE A, REDDING, CA 96001-2364
(530) 243-3687
(530) 243-3383
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A74853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A748530
—
CA
01
—
P00114242
RAILROAD MEDICARE
GA
Enumeration date
12/01/2005
Last updated
09/05/2012
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