Healthcare Provider Details

I. General information

NPI: 1770592875
Provider Name (Legal Business Name): PETER L BUZAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 AIRPORT BLVD
MOBILE AL
36606-1701
US

IV. Provider business mailing address

PO BOX 2705
HUNTSVILLE AL
35804-2705
US

V. Phone/Fax

Practice location:
  • Phone: 251-234-1625
  • Fax:
Mailing address:
  • Phone: 256-265-3880
  • Fax: 256-265-3886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number29880
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: