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Individual

CHARLES E SHAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
565 RADIO HILL RD, MARION, VA 24354-6587
(276) 782-1234
Mailing address
104 EMERALD BLVD, CHRISTIANSBURG, VA 24073

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0101058541
VA

Other

Enumeration date
07/02/2006
Last updated
07/08/2007
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