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Individual

ELIZABETH A BUETOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1401 JOHNSTON WILLIS DR, RICHMOND, VA 23235-4730
(804) 330-2000
Mailing address
PO BOX 17694, BALTIMORE, MD 21297-1694
(866) 916-5259
(231) 922-4030

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101059120
VA
207P00000X
Emergency Medicine Physician
208024
NY
207P00000X
Emergency Medicine Physician
D56581
MD
207P00000X
Emergency Medicine Physician
Primary
LIMITED
VA

Other

Enumeration date
07/13/2006
Last updated
02/19/2008
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