Individual
JOHN EDWIN SHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 7003B, SAINT LOUIS, MO 63141-8232
(314) 251-5570
Mailing address
621 S NEW BALLAS RD, SUITE 7003B, SAINT LOUIS, MO 63141-8232
(314) 251-5570
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2003026623
MO
Other
Enumeration date
11/18/2005
Last updated
12/07/2016
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