Bethany J. Mumbower, PA

NPI #1770890162 in Springfield, Illinois

Provider Information

NPI Number: 1770890162
Entity Type: Individual
Name: Bethany J. Mumbower, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 7, 2010
Last Updated: Jun 18, 2020

Practice Location

Address: 2200 WABASH AVE
City: Springfield
State: Illinois
ZIP Code: 62704-5352
Phone: (217) 528-7541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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