Individual
DANIELLE L SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
741 MOUNTAIN VIEW RD, RAPID CITY, SD 57702-2540
(605) 391-7095
Mailing address
196 RENVILLE CT, HENDERSON, NV 89074-5878
(605) 391-7095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0882
SD
Other
Enumeration date
12/28/2011
Last updated
01/26/2024
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