Michael A Bumanglag in Peoria - Surgical

Michael A Bumanglag - NPI 1245268820

Michael A Bumanglag is a Surgical in Peoria, Arizona. Michael A Bumanglag practices all healthcare services and medical treatments related to Surgical. The NPI Number for Michael A Bumanglag is 1245268820. The last update date is 2009-12-03.

Michael A Bumanglag's current location address is 9165 W Thunderbird Rd, Peoria, Arizona. You can contact this provider via phone number 6238763870 and fax number 6238150087. The mailing address for Michael A Bumanglag is 9165 W Thunderbird Rd, Peoria, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael A Bumanglag
Address 9165 W Thunderbird Rd, Peoria, Arizona
Phone Number 6238763870
Fax Number 6238150087
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1245268820
Provider Enumeration Date 2006-06-30
Last Updated Date 2009-12-03

Provider Mailing Address Detail

Address 9165 W Thunderbird Rd
City Peoria
State Arizona (AZ)
Post Code 8538148470
Phone Number 6238763870
Fax Number 6238150087

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 3446
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3446 AZ STATE LICENSE
164595 AZ --

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FAQs about Michael A Bumanglag

What is the Michael A Bumanglag's unique identification number?

The Michael A Bumanglag has been assigned the NPI (National Provider Identifier) Number 1245268820 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Michael A Bumanglag located?

The Michael A Bumanglag is located at 9165 W Thunderbird Rd, Peoria, AZ 8538148470.

What is Michael A Bumanglag's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Michael A Bumanglag is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1245268820 to Michael A Bumanglag?

The Centers for Medicare & Medicaid Services assigned the 1245268820 to Michael A Bumanglag on 2006-06-30.

When was the information related to Michael A Bumanglag most recently updated or refreshed?

The details pertaining to the Michael A Bumanglag, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-03.

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