Individual
ELIZABETH GAIL SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3508 STAUNTON AVE SE, CHARLESTON, WV 25304-1477
(304) 925-4086
Mailing address
3508 STAUNTON AVE SE, CHARLESTON, WV 25304-1477
(304) 925-4086
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25405
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810027614
—
WV
Enumeration date
05/04/2009
Last updated
04/16/2015
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