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Individual

DR. JOSEPH E MUMFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04-24175
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068002048
MEDICARE PTAN
KS
05
100136790A
KS
05
100136790C
KS
Enumeration date
12/20/2005
Last updated
02/05/2025
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