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NPI Code Detail

MEDICARE: DR. MATTHEW G BUXTON M.D.

MEDICARE:  DR. MATTHEW G BUXTON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician0426254KS

General Provider Information

NPI Number : 1063410488
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW G BUXTON M.D.
Provider Business Mailing Address
First Line : 3511 CLINTON PL
Second Line :
City : LAWRENCE
State : KS
Zip : 66047-2196
Country : US
Telephone Number : 785-749-7546
Fax Number : 785-749-4560
Provider Business Practice Location Address
First Line : 3511 CLINTON PL
Second Line :
City : LAWRENCE
State : KS
Zip : 66047-2196
Country : US
Telephone Number : 785-749-7546
Fax Number : 785-749-4560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2005
Last Update Date : 07/08/2007

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Directions to “ DR. MATTHEW G BUXTON M.D.” Practice Location

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