Basic Information
| Provider Information | |||||||||
| NPI: | 1881612596 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUFFUM | ||||||||
| FirstName: | FRANK | ||||||||
| MiddleName: | G | ||||||||
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| NameSuffix: | JR. | ||||||||
| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2550 NORTH HOLLYWOOD WAY | ||||||||
| Address2: | SUITE 209 | ||||||||
| City: | BURBANK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 915055019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8185570135 | ||||||||
| FaxNumber: | 8185571394 | ||||||||
| Practice Location | |||||||||
| Address1: | 1081 NORTH CHINA LAKE BLVD | ||||||||
| Address2: | RIDGECREST REGIONAL HOSPITAL | ||||||||
| City: | RIDGECREST | ||||||||
| State: | CA | ||||||||
| PostalCode: | 935553130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7604463551 | ||||||||
| FaxNumber: | 7604993072 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | PA17847 | CA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.