Individual
MR. ROBERT LE ALAN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1105 MEMORIAL DR, ARTESIA, NM 88210-1189
(575) 746-9848
(575) 746-2215
Mailing address
911 ROBINSON AVE, TRINIDAD, CO 81082-2811
(719) 845-4884
(719) 846-8209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
59325
CO
Other
Enumeration date
01/27/2006
Last updated
10/15/2012
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