Organization
RYAN P BUFFALO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN P BUFFALO MD (MEDICAL DOCTOR)
(501) 352-5800
Entity
Organization
Contact information
Practice address
2725 HIGHWAY 25 B NORTH, HEBER SPRINGS, AR 72543
(501) 352-5800
Mailing address
PO BOX 1148, HEBER SPRINGS, AR 72543-1148
(501) 362-5818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145515002
—
AR
Enumeration date
09/21/2006
Last updated
12/02/2009
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