Individual
MARCUS DODDRIDGE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 PENNSYLVANIA AVE, SUITE 302, CHARLESTON, WV 25302-3302
(304) 388-2950
(304) 388-2951
Mailing address
830 PENNSYLVANIA AVE 405, CHARLESTON, WV 25302-3390
(304) 388-2980
(304) 388-2951
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
23875
WV
Other
Enumeration date
04/01/2008
Last updated
12/21/2015
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