person
Michael A Bumanglag, PA-C
Surgical Physician Assistant in Peoria, Arizona
NPI 1245268820

Michael A Bumanglag is a Surgical Physician Assistant based in Peoria, AZ and is specialized in Surgical. Michael A Bumanglag practices in Peoria, AZ and has the professional credentials of PA-C. The NPI Number for Michael A Bumanglag is 1245268820 and holds a License No. 3446 (Arizona).

The current practice location address for Michael A Bumanglag is 9165 W Thunderbird Rd, Peoria, AZ and can be reached out via phone at 623-876-3870 and via fax at 623-815-0087.

Location: 9165 W Thunderbird Rd, Peoria, AZ, 85381-4846
person
Provider Profile Details
NPI Number
1245268820
Provider Name
Michael A Bumanglag
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
9165 W Thunderbird Rd, Peoria, AZ, 85381-4846
Phone Number
623-876-3870
Fax Number
623-815-0087
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3446 01 AZ STATE LICENSE
164595 05 AZ
institution
Provider Business Practice Location Address Details
Address
9165 W Thunderbird Rd
City
State
Zip
85381-4847
Phone Number
623-876-3870
Fax Number
623-815-0087
person
Provider Business Mailing Address Details
Address
9165 W Thunderbird Rd
City
State
Zip
85381-4847
Phone Number
623-876-3870
Fax Number
623-815-0087
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
3446 (Arizona)
Definition
Definition to come...
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