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Individual

IAN ARNOLD SHAFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11303 WALNUT CREEK CT, OAKTON, VA 22124-2044
(703) 218-3667
(703) 218-3668
Mailing address
3831 MOSSY OAK DR, FORT MYERS, FL 33905-3836
(703) 304-7712

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
0101047780
VA
2084P0800X
Psychiatry Physician
Primary
0101047780
VA
2084P0804X
Child & Adolescent Psychiatry Physician
0101047780
VA

Other

Enumeration date
05/23/2011
Last updated
02/18/2019
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