Michael A Bumanglag, PA-C Valid NPI

Individual provider · Surgical Physician Assistant · Peoria, AZ

NPI

1245268820

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

3446 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-30

Last updated

2009-12-03