Bucolo, Anthony Phillip

Bucolo, Anthony Phillip is an individual health care provider with primary practice located at 10001 Lile Dr , Little Rock AR 72205-6217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bucolo, Anthony Phillip can be contacted via phone (501) 552-6100.

Contact Information

Primary practice address
10001 Lile Dr Little Rock AR 72205-6217
Phone: (501) 552-6100
Fax: (501) 552-6199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X N-5701 Arkansas

Profile Details

NPI number 1497752638
LBN Legal business name Bucolo, Anthony Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jun 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497752638 NPPES
Arkansas MEDICAID 104832001
Arkansas Other N5701

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