Individual
DR. JOE LEE BUFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W PERSHING BLVD, NORTH LITTLE ROCK, AR 72114-2146
(501) 771-0674
(501) 753-4147
Mailing address
410 W PERSHING BLVD, NORTH LITTLE ROCK, AR 72114-2146
(501) 771-0674
(501) 753-4147
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C5376
AR
261QP2300X
Primary Care Clinic/Center
C5376
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57813
PTAN
AR
Enumeration date
12/11/2006
Last updated
12/20/2013
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