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Individual

DR. DAVID J. SHAFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
951 E MARKET ST, CADIZ, OH 43907-9799
(740) 942-4631
(740) 942-2749
Mailing address
1222 PLEASANT AVE, WELLSBURG, WV 26070-1345
(304) 737-1942

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35068595
OH
208600000X
Surgery Physician
35068595
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0143268
OH
Enumeration date
10/13/2006
Last updated
11/10/2008
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