Individual
JOHN R BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 241-9729
Mailing address
2530 N 8TH ST, 101, GRAND JUNCTION, CO 81501-8856
(970) 241-9729
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
33374
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01333749
—
CO
Enumeration date
11/18/2005
Last updated
02/16/2010
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