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1649277450

NPI Code Detail

MEDICARE: MISS LINDA L BUFTON M.D.

MEDICARE: MISS LINDA L BUFTON 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
1	2084N0400X	Neurology Physician	16534	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1407812365	OTHER	OR	MEDICARE GROUP NPI
3	R0000WFBTV	OTHER	OR	MEDICARE GROUP PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	930635514	OTHER	OR	TAX ID

General Provider Information

NPI Number	:	1649277450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LINDA L BUFTON M.D.

Provider Business Mailing Address
First Line	:	1900 WOODLAND DRIVE
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-0000
Country	:	US
Telephone Number	:	541-267-5151
Fax Number	:	541-266-4553

Provider Business Practice Location Address
First Line	:	1900 WOODLAND DRIVE
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-0000
Country	:	US
Telephone Number	:	541-267-5151
Fax Number	:	541-266-4553

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/23/2010

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Directions to “ MISS LINDA L BUFTON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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