Robert V Shafor, MD
Surgery in Slidell, LA. Individual provider (NPI-1).
NPI number1528042702
StatusActive
Last updated in NPPESJan 22, 2020
Details
- NPI
- 1528042702
- Entity type
- Individual (NPI-1)
- Name
- Robert V Shafor
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2005
- Certification date
- Jan 22, 2020
- Last updated
- Jan 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 10412R | LA | Yes |
Practice location
1051 Gause Blvd Ste 410Slidell, LA 70458-2995
Phone 985-280-9002 · Fax 985-781-0200
Mailing address
1051 Gause Blvd Ste 410Slidell, LA 70458-2995
Phone 985-280-9002 · Fax 985-781-0200
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