Individual
DR. LARRY THOMAS BUMGUARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9505 WEST CENTRAL STE 104, WICHITA, KS 67212-3801
(316) 312-0002
(316) 854-5644
Mailing address
9505 WEST CENTRAL STE 104, WICHITA, KS 67212-3801
(316) 312-0002
(316) 440-3200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0519728
KS
Other
Enumeration date
02/27/2006
Last updated
01/15/2016
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