Mumford, David

Mumford, David is an individual health care provider with primary practice located at 9563 Borgata Bay Blvd , Las Vegas NV 89147-8014. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Mumford, David can be contacted via phone (702) 818-5933.

Contact Information

Primary practice address
9563 Borgata Bay Blvd Las Vegas NV 89147-8014
Phone: (702) 818-5933
Fax: (702) 818-5934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 7359 Nevada

Profile Details

NPI number 1225145451
LBN Legal business name Mumford, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225145451 NPPES
Nevada Other NV1360 ANTHEM BCBS
Nevada MEDICAID 100510254 ANTHEM BCBS
Nevada Other 7359 ANTHEM BCBS

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