Individual
PAUL S BUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15210 L P BAILEY MEMORIAL HWY, NATHALIE, VA 24577-3304
(434) 349-3113
(434) 349-2172
Mailing address
15210 L P BAILEY MEMORIAL HWY, NATHALIE, VA 24577-3304
(434) 349-3113
(434) 349-2172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101038108
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007610661
—
VA
Enumeration date
06/16/2005
Last updated
10/13/2020
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