Individual
DR. EVAN BUXBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 DEYE LN, EASTSOUND, WA 98245-8578
(360) 293-3101
(360) 466-6139
Mailing address
1211 24TH ST, ANACORTES, WA 98221-2562
(360) 293-3101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5472
AK
208000000X
Pediatrics Physician
A116531
CA
208000000X
Pediatrics Physician
MD15949
HI
208000000X
Pediatrics Physician
Primary
MD60027949
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8522369
—
WA
05
—
MD3127
—
AK
Enumeration date
08/30/2006
Last updated
08/12/2022
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