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1518401272
BRIAN BUCCOLA
ROANOKE, VA
NPI
1518401272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2016-12-14
Last Update Date
2016-12-14
Business Address
-- BRIAN BUCCOLA
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
-- BRIAN BUCCOLA
110 HENSLEY CT
GOODVIEW, VA 24095-2159
Phone number:
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