Individual
BRUCE A SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1925 ASPEN DR, STE 802A, SANTA FE, NM 87505-5577
(505) 473-2972
(505) 473-1759
Mailing address
1925 ASPEN DR, STE 802A, SANTA FE, NM 87505-5577
(505) 473-2972
(505) 473-1759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
86333
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
86333
NM
207RP1001X
Pulmonary Disease Physician
Primary
86333
NM
Other
Enumeration date
07/01/2005
Last updated
01/12/2010
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