Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE RICHARD SHAFFER, MD
ActiveBLAKE RICHARD SHAFFER, MD is a Student (Health Education/Training) healthcare provider located in EGLIN AFB, Florida. NPI 1235510140 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · EGLIN AFB, FL
Registration Details
- NPI Number
- 1235510140
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2015 (11.124068257429 yrs)
- Last Updated
- Jun 5, 2020
- Licenses
-
MT208977 (PA)0101261224 (VA)
Practice Information
- Address
-
307 BOATNER RD STE 114EGLIN AFB, FL, 325421302Browse FL providers · Browse ZIP 32542
- Phone
- 8508838600
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in EGLIN AFB, FL
| Name | Credential | NPI |
|---|---|---|
| DR. LANCE MICHAEL BLACK | M.D. | 1508957325 |
| STEPHANIE ANNE SMITH | — | 1518108612 |
| JESSAMY JAE THORNTON | D.D.S. | 1134402662 |
| MARC FREDERICK SCHOENDORF | MSW | 1801229042 |
| ISHAN CHOPRA | — | 1366064396 |
| NATSUKO MODEN | PA-S | 1255135430 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.