Individual
STEVEN WAYNE MUMBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 GREEN HILLS DRIVE, VERONA, VA 24482-2659
(540) 949-0118
(540) 932-2059
Mailing address
19 GREEN HILLS DRIVE, VERONA, VA 24482
(540) 949-0118
(540) 932-2059
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101057329
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006720285
—
VA
01
—
10535
CIGNA
VA
01
—
1084226
FIRSTH HEALTH
—
01
—
156885
SOUTHERN HEALTH
—
01
—
245317
ANTHEM
VA
01
—
45636
OPTIMA
—
Enumeration date
06/09/2005
Last updated
07/10/2014
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