Individual
MICHAEL L. BUFFINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 W COLT SQUARE DR STE 3, FAYETTEVILLE, AR 72703-2888
(479) 521-1420
(866) 286-2967
Mailing address
PO BOX 1266, FAYETTEVILLE, AR 72702-1266
(479) 521-1420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C4241
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12471000000
QUALCHOICE
AR
05
—
137676001
—
AR
01
—
50748
BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/20/2005
Last updated
02/13/2024
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