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Gordon Julian Shumate JR., DPM
Sports Medicine Podiatrist in Redding, California
NPI 1487673471

Gordon Julian Shumate JR. is a Sports Medicine Podiatrist based in Redding, CA and is specialized in Sports Medicine. Gordon Julian Shumate JR. practices in Redding, CA and has the professional credentials of DPM. The NPI Number for Gordon Julian Shumate JR. is 1487673471 and holds a License No. E3936 (California).

The current practice location address for Gordon Julian Shumate JR. is 405 South St Ste F, Redding, CA and can be reached out via phone at 530-246-4800 and via fax at 530-246-4802.

Location: 405 South St Ste F, Redding, CA, 96001-2101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487673471
Provider Name
Gordon Julian Shumate JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
405 South St Ste F, Redding, CA, 96001-2101
Phone Number
530-246-4800
Fax Number
530-246-4802
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E39360 05 CA
institution
Provider Business Practice Location Address Details
Address
405 South St Ste F
City
Redding
State
California
Zip
96001-2101
Phone Number
530-246-4800
Fax Number
530-246-4802
person
Provider Business Mailing Address Details
Address
405 South St Ste F
City
Redding
State
California
Zip
96001-2101
Phone Number
530-246-4800
Fax Number
530-246-4802
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
E3936 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
E3936 (California)
Definition
Definition to come...
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