Individual
WILLIAM ALEXANDER SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(205) 657-2660
Mailing address
113 COLUMBIA PL, SLIDELL, LA 70458-9128
(205) 657-2660
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.208026
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2010
Last updated
06/04/2016
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