Individual
ROBERT NEAL BUFFALOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 S CHURCH ST, FAYETTE, MO 65248
(660) 248-2217
(660) 248-3450
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20120036972
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24228214
—
NM
05
—
796071
—
AZ
Enumeration date
06/27/2006
Last updated
06/01/2012
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