Individual
COURBYNE BUFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 N 1ST ST, PHOENIX, AZ 85004-1924
(602) 258-1481
Mailing address
11609 N 30TH LN, PHOENIX, AZ 85029-3249
(480) 329-5716
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC6221
AZ
Other
Enumeration date
12/11/2024
Last updated
10/22/2025
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