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Individual

MARY A BUFFINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.201483
LA
207RN0300X
Nephrology Physician
Primary
MD.201483
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07175
LA
Enumeration date
05/24/2007
Last updated
08/17/2023
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