Organization
SHAUN S SHAFER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUN S SHAFER M.D. (PRESIDENT)
(307) 742-2131
Entity
Organization
Contact information
Practice address
204 MCCOLLUM DRIVE #201, LARAMIE, WY 82072
(307) 742-2131
(307) 742-2134
Mailing address
204 MCCOLLUM DRIVE #201, LARAMIE, WY 82072
(307) 742-2131
(307) 742-2134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5934A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118240400
—
WY
Enumeration date
10/16/2006
Last updated
10/23/2007
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