Organization
ALFRET SHAKESPRERE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRET NORMAN SHAKESPRERE M.D (OWNER)
(304) 728-9797
Entity
Organization
Contact information
Practice address
201 E 5TH AVE, RANSON, WV 25438-1678
(304) 728-9797
Mailing address
201 E 5TH AVE, RANSON, WV 25438-1678
(304) 728-9797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19076
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080920000
—
WV
Enumeration date
11/08/2007
Last updated
01/31/2008
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