Individual
DR. DIANE ELAIN SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
114 W 2ND AVE # 749, 114 WEST SECOND AVE., WILLIAMSON, WV 25661-3104
(304) 235-4000
(304) 235-4249
Mailing address
PO BOX 749, 114 WEST SECOND AVE., WILLIAMSON, WV 25661-0749
(304) 235-4000
(304) 235-4249
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12440
WV
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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