Individual
PETER R BUMANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 288-6258
(804) 282-9921
Mailing address
4 LEXINGTON RD, RICHMOND, VA 23226-1626
(804) 562-1408
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102037151
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5718791
—
VA
Enumeration date
10/05/2005
Last updated
12/05/2007
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