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Individual

DR. MARTIN CHARLES SHAFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
76915 OKLAHOMA AVE, PALM DESERT, CA 92211-7736
(760) 469-3703
Mailing address
76915 OKLAHOMA AVE, PALM DESERT, CA 92211-7736
(760) 469-3703

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G27453
CA
208D00000X
General Practice Physician
G27453
CA

Other

Enumeration date
09/12/2008
Last updated
09/12/2008
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