Individual
NATHAN BUMBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-7934
(210) 292-7934
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
D0095945
MD
2085R0202X
Diagnostic Radiology Physician
0116027992
VA
Other
Enumeration date
07/07/2015
Last updated
09/20/2024
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