Individual
DR. JAMES T SHAEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4049 S CAMPBELL AVE, SPRINGFIELD, MO 65807-5303
(417) 890-5550
(417) 889-6898
Mailing address
4049 S CAMPBELL AVE, SPRINGFIELD, MO 65807-5303
(417) 890-5550
(417) 889-6898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R5045
MO
207X00000X
Orthopaedic Surgery Physician
Primary
R5045
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200005502
—
MO
01
—
81634
AR BLUE SHIELD #
MO
Enumeration date
02/06/2007
Last updated
10/11/2011
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