| Doctor Name: | DR. BRUCE RANDY SHOEMAKER |
| NPI Number: | 1518042480 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | SC002654-L |
| Business Practice Address: | 309 Hemlock Dr Hatboro, PA - 190401631 |
| Business Phone Number: | 2154435950 |
| Business Fax Number: | 2154435140 |
| Mailing Address: | 309 Hemlock Drive, HATBORO |
| State: | PA |
| Postal Code: | 190401631 |
| Phone Number: | 2154435950 |
| Fax Number: | 2154435140 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | SC002654-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |