Individual
MISS LINDA L BUFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 WOODLAND DRIVE, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-4553
Mailing address
1900 WOODLAND DRIVE, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-4553
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
16534
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011754
—
OR
01
—
1407812365
MEDICARE GROUP NPI
OR
01
—
930635514
TAX ID
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN
OR
Enumeration date
07/07/2005
Last updated
03/23/2010
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