Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 01063474A | IN |
N | 207L00000X | Anesthesiologist | 2005-0293 | NM |
Y | 207L00000X | Anesthesiologist | 7396839-1205 | UT |
N | 207L00000X | Anesthesiologist | N4316 | TX |
NPI | 1003955014 |
---|---|
Provider Name | Michael Buys |
First Address | Park City, UT 84098 |
Second Address | Park City, UT 84098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 11/11/2021 |