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Individual

ROBERT LINVILLE BUMGARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
NATIONAL NAVAL MEDICAL CENTER, 8901 WISCONSIN AVENUE, BETHESDA, MD 20889-5600
(301) 295-5800
Mailing address
PO BOX 4077, MERRIFIELD, VA 22116-4077
(703) 676-5468

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101030764
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301040859
MI

Other

Enumeration date
09/25/2007
Last updated
02/10/2010
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