Individual provider · Type 1 NPI

Douglas Eugene Shaffer, PAC

Medical Physician Assistant · Farmington, NM

NPI number 1639225055 Active

Practice location

3451 N Butler Ave
Farmington, NM 87401-2357

Call (505) 566-1915 Map

Fax (505) 566-1918

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA20050038NM (NM)

Medical Physician Assistant: Definition to come...

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About NPI 1639225055

Douglas Eugene Shaffer, PAC's National Provider Identifier is 1639225055, issued on Jan 26, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Farmington, NM. The record was last updated on Dec 12, 2007.