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Individual

ROSS SHUMWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDN

Contact information

Practice address
2376 N HERITAGE ST, BUCKEYE, AZ 85396-1624
(978) 314-6876
Mailing address
7219 N LITCHFIELD RD BLDG 1130, LUKE AIR FORCE BASE, AZ 85309-1529
(623) 856-2296

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86076439

Other

Enumeration date
09/09/2024
Last updated
06/20/2026
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