Individual
BILLY JOE BUFFINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1714 S KELLY AVE, EDMOND, OK 73013-3624
(405) 216-3993
(405) 216-3992
Mailing address
1714 S KELLY AVE, EDMOND, OK 73013-3624
(405) 216-3993
(405) 216-3992
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15483
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101440A
—
OK
01
—
P00021467
RR MEDICARE
OK
Enumeration date
04/18/2006
Last updated
01/16/2014
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