Basic Information
Provider Information
NPI: 1992392930
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BUXTON
FirstName: WILLIAM
MiddleName: PAUL
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 435 CHINA BASIN ST UNIT 629
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941582173
CountryCode: US
TelephoneNumber: 6469541921
FaxNumber:  
Practice Location
Address1: 500 PARNASSUS AVE # MUE409
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941432203
CountryCode: US
TelephoneNumber: 4154769035
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/23/2020
LastUpdateDate: 12/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XF662CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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