BRIAN BUCCOLA

ROANOKE, VA
NPI1518401272
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110005622)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
363AM0700X Physician Assistant, Medical
(Licence: VA  0110005622)
Enumeration Date2016-12-14
Last Update Date2025-09-11
Business Address
-- BRIAN BUCCOLA
3 RIVERSIDE CIR
ROANOKE, VA 24016-4955
Phone number: 540-224-5170
Mailing Address
-- BRIAN BUCCOLA
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: