Individual
BRIAN WAYNE MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-5149
(804) 765-5000
Mailing address
9058 OLD SPRINGFIELD RD, GLEN ALLEN, VA 23060-6327
(804) 306-0550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002810
VA
Other
Enumeration date
07/16/2008
Last updated
04/08/2009
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