Justin Bumgardner, MD
Hospitalist in Sparks, NV. Individual provider (NPI-1).
NPI number1508361007
StatusActive
Last updated in NPPESJan 5, 2022
Details
- NPI
- 1508361007
- Entity type
- Individual (NPI-1)
- Name
- Justin Bumgardner
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2018
- Certification date
- Jan 5, 2022
- Last updated
- Jan 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 21528 | NV | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2375 E Prater WaySparks, NV 89434-9641
Phone 775-352-5301
Mailing address
1155 Mill St # W11Reno, NV 89502-1576
Phone 775-327-5174
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Other Hospitalist Physician providers in Sparks, NV
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All 9 Hospitalist Physician providers in Sparks · All 2,555 providers in Sparks
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