MR. Bryan Michael Bumgardner, LPN
NPI #1184938292 in Sugar Grove, Ohio
Provider Information
- NPI Number
- 1184938292
- Entity Type
- Individual
- Name
- MR. Bryan Michael Bumgardner, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jul 30, 2010
- Last Updated
- Jul 30, 2010
Practice Location
- Address
- 4250 CHICKEN COOP RD
- City
- Sugar Grove
- State
- Ohio
- ZIP Code
- 43155-9725
- Phone
- (740) 746-8415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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