Individual
DR. DANA C SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
184 S MAYO TRL, PIKEVILLE, KY 41501-1518
(606) 218-4800
(606) 218-4810
Mailing address
PO BOX 2917, PIKEVILLE, KY 41502-2917
(606) 218-4800
(606) 218-4810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02167
IA
207Q00000X
Family Medicine Physician
Primary
03636
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0237305
—
IA
Enumeration date
07/29/2005
Last updated
07/17/2014
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