Matthew Shaffer LAT ATC

NPI 1043607187 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1043607187
Gender Male
Enumeration Date 04/15/2015
Last Updated 04/15/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
293 RAYMILTON RD
POLK PA, 16342-2927, US
Phone (814) 758-1764
Fax
Business Location
293 RAYMILTON RD
POLK PA, 16342-2927, US
Phone (814) 758-1764
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Virginia
License Number 0126002306
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According to our database, Matthew Shaffer LAT ATC NPI is 1043607187, taxonomy code is 2255A2300X and license number is 0126002306, license state is located at Virginia. Matthew Shaffer LAT ATC physically located at 293 Raymilton Rd, Polk PA, 16342-2927. NPI Number Matthew Shaffer LAT ATC has the Individual type.

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1043607187 NPI number is provided on an as is basis without warranty of any kind. 1043607187 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Shaffer LAT ATC are for informational purposes only.