Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIMON-PETER SHAFFER, P.A.
ActiveSIMON-PETER SHAFFER, P.A. is a Physician Assistant healthcare provider located in INDUSTRY, Maine. NPI 1730361577 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · INDUSTRY, ME
Registration Details
- NPI Number
- 1730361577
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2007 (18.687315881062 yrs)
- Last Updated
- Jan 8, 2010
- Licenses
-
PA203 (ME)085.003662 (IL)
Practice Information
- Address
-
64 HENDERSON CV RDINDUSTRY, ME, 049384579Browse ME providers · Browse ZIP 04938
- Phone
- 2077785542
- Fax
- 2077785580
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
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.