Individual
DR. SCOTT L. SHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-8490
Mailing address
PO BOX 102356, DUMC, DURHAM, NC 27710-0001
(919) 668-2402
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
200401435
NC
207RP1001X
Pulmonary Disease Physician
Primary
200401435
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902223
—
NC
Enumeration date
09/30/2005
Last updated
07/27/2014
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