Individual
DAVID M MUMMA
Active
Individual
DAVID M MUMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3310
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
975550
—
AZ
01
—
P00278310
RAILROAD MEDICARE
AZ
Enumeration date
11/22/2005
Last updated
10/30/2007
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