Individual
ELIZABETH ANNE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2600
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-4039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.074843
IL
207Q00000X
Family Medicine Physician
2022018012
MO
208M00000X
Hospitalist Physician
Primary
2022018012
MO
Other
Enumeration date
06/12/2019
Last updated
09/26/2023
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