Individual
BRIAN K. BUXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 N STATE OF FRANKLIN RD RM 2746, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201-4109
(413) 447-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
700
TN
363A00000X
Physician Assistant
PA5615
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008944903
—
VA
05
—
3668529
—
TN
Enumeration date
10/21/2005
Last updated
08/22/2023
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