Individual
RICHARD DWIGHT SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3045 S NATIONAL AVE STE 110, SPRINGFIELD, MO 65804-4247
(417) 820-8991
Mailing address
3045 S NATIONAL AVE STE 110, SPRINGFIELD, MO 65804-4247
(417) 820-8991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020034542
MO
Other
Enumeration date
06/28/2012
Last updated
06/08/2022
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