Individual
MR. TERRY DALE SCHIFFBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
394 GARRISONVILLE RD STE 103, STAFFORD, VA 22554-1529
(540) 374-5599
Mailing address
394 GARRISONVILLE RD. STE 103, STAFFORD, VA 22554
(540) 374-5599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0110004436
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810019122
—
WV
Enumeration date
02/12/2007
Last updated
04/06/2023
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