Individual
COLIN D SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
317 W PUEBLO ST, SANTA BARBARA, CA 93105-4310
(805) 681-1761
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-1761
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C55176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C55176
STATE LICENSE
CA
Enumeration date
02/15/2006
Last updated
01/10/2013
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