Individual
BRADLEY ALLEN SHUMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(757) 472-1665
Mailing address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(757) 472-1665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101231743
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073684437
—
VA
Enumeration date
11/10/2006
Last updated
05/08/2008
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