Individual
ZACHARY AUSTIN SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(619) 532-7968
Mailing address
519 AMMUNITION RD APT 5, FALLBROOK, CA 92028-3112
(231) 649-4341
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
06/16/2025
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