Individual
BRANDON T BUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501
(434) 485-8500
(434) 485-8599
Mailing address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8500
(434) 485-8599
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101262136
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942593488
—
VA
Enumeration date
05/17/2011
Last updated
12/03/2018
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