MEDICARE: DR. ROBERT B SHUMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	R6C55	MO

General Provider Information

NPI Number	:	1841238714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT B SHUMAN M.D.

Provider Business Mailing Address
First Line	:	1110 HIGHLANDS PLAZA DRIVE E
Second Line	:	SUITE 375
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1340
Country	:	US
Telephone Number	:	314-367-3113
Fax Number	:	314-367-6491

Provider Business Practice Location Address
First Line	:	1110 HIGHLANDS PLAZA DRIVE E
Second Line	:	SUITE 375
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1340
Country	:	US
Telephone Number	:	314-367-3113
Fax Number	:	314-367-6491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	10/02/2008

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