Individual
JOHN A BUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
213 N ILLINOIS ST, WEATHERFORD, OK 73096-5437
(580) 774-5089
(580) 303-9166
Mailing address
PO BOX 2169, ELK CITY, OK 73648-2169
(580) 821-1185
(580) 303-9166
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18370
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106938
BLUE CROSS
KS
05
—
200538650A
—
KS
Enumeration date
09/06/2005
Last updated
10/19/2023
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