Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 042.0012872 | VT |
NPI | 1609080233 |
---|---|
Provider Name | Dr. Rebecca Shaffer |
First Address | Colchester, VT 05446-3052 |
Second Address | Colchester, VT 05446-3052 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 09/01/2015 |