Individual
DR. RYNE SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, D.C.
Contact information
Practice address
13100 N WESTERN AVE STE 200, OKLAHOMA CITY, OK 73114-1431
(800) 781-1220
Mailing address
13100 N WESTERN AVE STE 200, OKLAHOMA CITY, OK 73114-1431
(800) 781-1220
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
4145
OK
363A00000X
Physician Assistant
Primary
3225
OK
Other
Enumeration date
03/30/2011
Last updated
08/14/2020
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