Provider Demographics
NPI:1295043859
Name:BUFFUM, DAVID (RN, NP)
Entity Type:Individual
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First Name:DAVID
Middle Name:
Last Name:BUFFUM
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Gender:M
Credentials:RN, NP
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Mailing Address - Street 1:400 TAYLOR BLVD
Mailing Address - Street 2:STE 202
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2147
Mailing Address - Country:US
Mailing Address - Phone:925-677-5041
Mailing Address - Fax:925-677-5025
Practice Address - Street 1:400 TAYLOR BLVD
Practice Address - Street 2:STE 202
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2147
Practice Address - Country:US
Practice Address - Phone:925-677-5041
Practice Address - Fax:925-677-5025
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA682924363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology