Individual
RANDAL JORDAN SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
590 S MAIN STREET, SNOWFLAKE, AZ 85937-4400
(928) 536-7519
(928) 532-2139
Mailing address
590 S MAIN STREET, SNOWFLAKE, AZ 85937-4400
(928) 536-7519
(928) 532-2139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009441
AZ
Other
Enumeration date
06/11/2020
Last updated
04/12/2024
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