Individual
DR. VICTOR L BUCKWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1151 KEEZLETOWN RD, SUITE 101, WEYERS CAVE, VA 24486-0189
(540) 234-9241
(540) 234-9200
Mailing address
1151 KEEZLETOWN RD, SUITE 101, WEYERS CAVE, VA 24486-0189
(540) 234-9241
(540) 234-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-040006
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005623090
—
VA
05
—
1235109992
—
VA
01
—
VV5377B
MEDICARE PTAN
VA
Enumeration date
01/25/2006
Last updated
12/07/2020
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