Individual provider · Type 1 NPI

William L. Buntain, MD

Pediatric Surgery Physician · Rockford, IL

NPI number 1700902608 Active

Practice location

2350 N Rockton Ave
Rockford, IL 61103-3600

Call (815) 971-7255 Map

Fax (815) 971-9955

Mailing address

PO Box 26666, Phs Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X20030056 (NM)
Surgery Physician 208600000X036131963 (IL)
Pediatric Surgery Physician Primary 2086S0120X04-23862 (KS)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

37 other providers at this address

About NPI 1700902608

William L. Buntain, MD's National Provider Identifier is 1700902608, issued on Mar 22, 2007. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Rockford, IL. The record was last updated on Nov 22, 2016.