Individual provider · NPI-1

Dr. Arli M. Bumatayo, MD

Hospitalist · Mattoon, IL

NPI number1639439177
StatusActive
Last updated in NPPESJan 29, 2021

Details

NPI
1639439177
Entity type
Individual (NPI-1)
Name
Dr. Arli M. Bumatayo
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 17, 2012
Certification date
Jan 29, 2021
Last updated
Jan 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist036-132735ILYes
207R00000X Internal Medicine036132735IL

Practice location

1000 Health Center Dr
Mattoon, IL 61938-9261

Phone 217-238-4325 · Fax 217-348-4290

Mailing address

1005 Health Center Dr Ste 201
Mattoon, IL 61938-4693

Phone 217-238-6055

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