Provider Demographics
NPI:1356480016
Name:BUFFMAN, BARRY RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:RAY
Last Name:BUFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:42357 50TH ST W
Mailing Address - Street 2:SUITE 107
Mailing Address - City:QUARTZ HILL
Mailing Address - State:CA
Mailing Address - Zip Code:93536-3529
Mailing Address - Country:US
Mailing Address - Phone:661-943-6455
Mailing Address - Fax:661-943-5775
Practice Address - Street 1:42357 50TH ST W
Practice Address - Street 2:SUITE#107
Practice Address - City:QUARTZ HILL
Practice Address - State:CA
Practice Address - Zip Code:93536-3529
Practice Address - Country:US
Practice Address - Phone:661-943-6455
Practice Address - Fax:661-943-5775
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG82000208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology