| Mike Buffington, M.d., P.a. | |
|
34 W Colt Square Dr Ste 3 Fayetteville AR 72703-2888 | |
| (479) 521-1420 | |
| (866) 286-2967 |
| Full Name | Mike Buffington, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 34 W Colt Square Dr Ste 3, Fayetteville, Arkansas |
| Authorized Official Name and Position | Michael L. Buffington (OWNER) |
| Authorized Official Contact | 8702895865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Buffington, M.d., P.a. Po Box 1266 Fayetteville AR 72702-1266 Ph: (479) 521-1420 | Mike Buffington, M.d., P.a. 34 W Colt Square Dr Ste 3 Fayetteville AR 72703-2888 Ph: (479) 521-1420 |
| NPI Number | 1740264050 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 7214955962 |
|---|---|
| Medicare Enrollment ID | O20051110000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740264050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arkansas) | Primary |
| Provider Name | Michael L Buffington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922007905 PECOS PAC ID: 6204822471 Enrollment ID: I20051114000289 |
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