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Search › Idaho › 1041C0700X

Bryan Bumgarner, LCSW

NPI 1053646414 · on the registry since 2009

Practice

Address
500 W Fort St
B-114
Boise, ID 83702
Phone
(208) 422-1000
Fax
(208) 422-1241
Organisation at this address
Vamc
Boise Vamc
Boise Vamc
Boise Va Hospital
Veteran'S Administration Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
685

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho