Individual
BUFFINTON B BURTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1710 W 3RD ST, SUITE 103B, ELK CITY, OK 73644-5159
(580) 225-8600
(580) 225-8603
Mailing address
PO BOX 1047, ELK CITY, OK 73648-1047
(580) 225-8600
(580) 225-8603
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
1149
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290004206
RAILROAD
—
05
—
MD1149
—
AK
Enumeration date
03/16/2006
Last updated
01/13/2010
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