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NPI Code Detail

MEDICARE: MRS. MICHELLE F. BUXTON PA-C

MEDICARE: MRS. MICHELLE F. BUXTON PA-C
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
1363AM0700XMedical Physician AssistantPA17264CA

General Provider Information

NPI Number : 1326076043
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE F. BUXTON PA-C
Provider Business Mailing Address
First Line : 10790 RANCHO BERNARDO RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-5705
Country : US
Telephone Number : 760-901-5010
Fax Number :
Provider Business Practice Location Address
First Line : 4318 MISSION AVE
Second Line :
City : OCEANSIDE
State : CA
Zip : 92057-6541
Country : US
Telephone Number : 760-901-5010
Fax Number : 760-433-1263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 04/04/2018

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