Individual
WAYNE L BRUFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4261 STOCKTON DR STE 100, NORTH LITTLE ROCK, AR 72117-2916
(501) 526-7219
(501) 526-7201
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
E-0263
AR
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
E-0263
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129301001
—
AR
01
—
5K023C207
PTAN
AR
Enumeration date
01/06/2006
Last updated
07/31/2023
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