Organization
MATTHEW SHAFFER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JAMES SHAFFER M.D. (OWNER)
(304) 205-5216
Entity
Organization
Contact information
Practice address
331 LAIDLEY ST, SUITE 601, CHARLESTON, WV 25301-1619
(304) 205-5216
Mailing address
1822 ROUNDHILL RD, CHARLESTON, WV 25314-1538
(304) 205-5216
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
22835
WV
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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