ANDREW JACOB BUMGARNER

HUNTINGTON, WV
NPI1568990760
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV  AT001434)
Enumeration Date2017-06-01
Last Update Date2017-06-01
Business Address
ANDREW JACOB BUMGARNER ATC
1 JOHN MARSHALL DR
HUNTINGTON, WV 25755-0002
Phone number: 304-696-2639
Mailing Address
ANDREW JACOB BUMGARNER ATC
1225 CHARLESTON AVE
HUNTINGTON, WV 25701-3623
Phone number: 937-631-2464