Individual
SCOTT K SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
448 E 1ST ST, SALIDA, CO 81201-2804
(719) 539-6661
Mailing address
3863 SW LOOP 820, SUITE 300, FORT WORTH, TX 76133-2064
(877) 294-7444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
165807
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59338547
—
CO
Enumeration date
07/06/2006
Last updated
07/08/2007
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