Individual
ROBERT E SHUMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1075 N CURTIS ROAD, STE 300, BOISE, ID 83706
(208) 367-3330
(208) 367-3331
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-3330
(208) 367-3331
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA052341
PA
363AM0700X
Medical Physician Assistant
Primary
PA-1361
ID
Other
Enumeration date
03/30/2006
Last updated
05/11/2016
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