Individual
RONALD SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST, CSFA
Contact information
Practice address
1109 YONKERS ST, PLAINVIEW, TX 79072-4859
(801) 502-3333
Mailing address
1109 YONKER ST, PLAINVIEW, TX 79072
(801) 502-3333
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
132081
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
07/21/2022
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