Willard Earl Bumpers

NPI #1366153215 in Killeen, Texas

Provider Information

NPI Number: 1366153215
Entity Type: Individual
Name: Willard Earl Bumpers
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 12, 2022
Last Updated: May 19, 2023

Practice Location

Address: 1812 CAMILLA RD
City: Killeen
State: Texas
ZIP Code: 76549-8110
Phone: (910) 382-7811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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