Individual
DR. BRIAN L SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5355 E HIGH ST UNIT 113, PHOENIX, AZ 85054-5481
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
32597
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
32597
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3917
HEALTHNET
AZ
05
—
867608
—
AZ
Enumeration date
05/10/2006
Last updated
05/22/2023
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