NPI | 1083682579 |
---|---|
Other Name | ADAM P BUZZERD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: TN PA1919) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: FL PA9103471) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2020-09-01 |