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Individual

SHIRL L SCHAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9127 W RUSSELL RD STE 110, LAS VEGAS, NV 89148-1253
(702) 878-0070
(303) 780-0787
Mailing address
PO BOX 840857, DALLAS, TX 75284-0857

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
114691
MT
207L00000X
Anesthesiology Physician
Primary
21813
NV
207L00000X
Anesthesiology Physician
39821
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04204549
CO
05
100457880A
KS
05
116784700
WY
05
3506685
MT
05
40755738
NM
05
84113438513
NE
Enumeration date
12/30/2005
Last updated
10/18/2022
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