Bufford, Phillip Gerald

Bufford, Phillip Gerald is an individual health care provider with primary practice located at 624 Hospital Dr , Mountain Home AR 72653. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bufford, Phillip Gerald can be contacted via phone (870) 508-1000.

Contact Information

Primary practice address
624 Hospital Dr Mountain Home AR 72653
Phone: (870) 508-1000
Fax: (870) 424-3089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-7064 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C-7064 Arkansas

Profile Details

NPI number 1487617791
LBN Legal business name Bufford, Phillip Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Feb 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487617791 NPPES
Arkansas MEDICAID 112833001

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