Doctor Name: | MR. RON DOUGLAS SCHAFER |
NPI Number: | 1497806038 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 001299 |
Business Practice Address: | 504 N. Cleveland St. Mount Ayr, IA - 508542201 |
Business Phone Number: | 6414643226 |
Business Fax Number: | 6414644420 |
Mailing Address: | 504 N. Cleveland St., MOUNT AYR |
State: | IA |
Postal Code: | 508542201 |
Phone Number: | 6414643226 |
Fax Number: | 6414644420 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 11/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 001299 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |