Individual
DREW M SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
220 E ROWAN AVE, SUITE 120, SPOKANE, WA 99207-1202
(509) 489-2851
(509) 484-0103
Mailing address
220 E ROWAN AVE, SUITE 120, SPOKANE, WA 99207-1202
(509) 489-2851
(509) 484-0103
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
PA10004471
WA
363AS0400X
Surgical Physician Assistant
PA10004471
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27011
E WA GROUP HEALTH
WA
05
—
8360331
—
WA
Enumeration date
01/23/2007
Last updated
05/29/2009
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