Blue Ridge Urological, PC

NPI #1528394228 in Fishersville, Virginia

Provider Information

NPI Number: 1528394228
Entity Type: Organization
Organization Name: Blue Ridge Urological, PC
Primary Specialty: Urology
Enumeration Date: Oct 30, 2009
Last Updated: Feb 12, 2021

Practice Location

Address: 70 MEDICAL CENTER CIR STE 208
City: Fishersville
State: Virginia
ZIP Code: 22939-2273
Phone: (540) 345-3556

Authorized Official

Name: DR. CARIE D BUCKLEY III, MD
Title: PRESIDENT
Phone: (540) 345-3556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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