MATTHEW BUMGARDNER M.D.
Individual Provider (NPI-1)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1043637119- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 3801 NORTH BLVD, BATON ROUGE, LA, 708063825
- Phone
- (225) 381-6546
- Fax
- (225) 381-2579
Specialties & Taxonomies
Family Medicine, Sports Medicine
Primary License: LA #301182
Family Medicine
License: LA #301182
Student in an Organized Health Care Education/Training Program