Individual
DR. TANA M. SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2007
(570) 271-6301
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS008164L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001424537
—
PA
Enumeration date
07/12/2006
Last updated
07/08/2007
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