Individual
JUSTIN BUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2375 E PRATER WAY, SPARKS, NV 89434-9641
(775) 352-5301
Mailing address
1155 MILL ST # W11, RENO, NV 89502-1576
(775) 327-5174
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
21528
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
01/05/2022
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