Individual
WILLIAM J BRUNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4055
Mailing address
PO BOX 12668, ROANOKE, VA 24027-2668
(540) 981-7553
(540) 342-2789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001437
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008948623
—
VA
Enumeration date
07/18/2006
Last updated
10/13/2023
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