Individual
DR. COLIN SIM SCHAEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BLDG H2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212
(919) 450-3905
(910) 450-4558
Mailing address
BLDG H2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212
(919) 450-3905
(910) 450-4558
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
41249
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071169
—
MA
Enumeration date
09/15/2006
Last updated
12/10/2008
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