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Search › Idaho › 363A00000X

Robert Shumway, PA-C, CAQ-PSYCH

NPI 1942784756 · on the registry since 2018

Practice

Address
335 E Main St Ste 3
Saint Anthony, ID 83445
Phone
(208) 356-4900
Fax
(208) 624-4030
Organisation at this address
Upper Valley Community Health Services Inc
Upper Valley Community Health Services Inc
Upper Valley Community Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Additional practice sites

  • 2454 N 25th E Ste 102, Idaho Falls, ID
  • 72 S 1st E Ste 103, Rexburg, ID

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho