Individual
RICHARD W SHOFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9335
(316) 689-9308
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19630
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000954
BCBS
KS
01
—
100114
HPK
KS
05
—
100192160A
—
KS
01
—
12149404
MULTIPLAN
KS
01
—
16867
COVENTRY
KS
01
—
838
PHS
KS
Enumeration date
06/28/2006
Last updated
04/30/2013
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