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Search › Kansas › 207Q00000X

Larry Bumguardner, D.O

NPI 1154397255 · on the registry since 2006

Practice

Address
9505 West Central Ste 104
Wichita, KS 67212
Phone
(316) 312-0002
Fax
(316) 854-5644
Organisation at this address
Change Your Life Enterprises, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-15

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 Kansas