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Bradley Rex Shumway, DO
Family Medicine Physician in Mesa, Arizona
NPI 1346652864

Bradley Rex Shumway is a Family Medicine Physician based in Mesa, AZ. Bradley Rex Shumway practices in Mesa, AZ and has the professional credentials of DO. The NPI Number for Bradley Rex Shumway is 1346652864 and holds a License No. (Arizona).

The current practice location address for Bradley Rex Shumway is 4447 E Broadway Rd Ste 107, Mesa, AZ and can be reached out via phone at 480-550-9610 and via fax at 480-500-6856.

Location: 4447 E Broadway Rd Ste 107, Mesa, AZ, 85206-2018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346652864
Provider Name
Bradley Rex Shumway
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4447 E Broadway Rd Ste 107, Mesa, AZ, 85206-2018
Phone Number
480-550-9610
Fax Number
480-500-6856
Provider Enumeration Date
06/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4447 E Broadway Rd Ste 107
City
Mesa
State
Arizona
Zip
85206-2018
Phone Number
480-550-9610
Fax Number
480-500-6856
person
Provider Business Mailing Address Details
Address
4447 E Broadway Rd Ste 107
City
Mesa
State
Arizona
Zip
85206-2018
Phone Number
480-550-9610
Fax Number
480-500-6856
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
006808 (Arizona)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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