Individual
BRADLEY ROBERT UMBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2710 RIFE MEDICAL LN, ANESTHESIA DEPT, ROGERS, AR 72758-1452
(479) 338-8000
(479) 338-3056
Mailing address
PO BOX 507, LOWELL, AR 72745-0507
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E1779
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100193770A
—
OK
05
—
134541001
—
AR
01
—
P00036688
RR
AR
Enumeration date
03/22/2006
Last updated
11/04/2020
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