MEDICARE: JUDD A SHAFER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	11268	AZ

General Provider Information

NPI Number	:	1154325843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDD A SHAFER MD

Provider Business Mailing Address
First Line	:	1210 E DEL SOL DR
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85284-4102
Country	:	US
Telephone Number	:	480-820-2306
Fax Number	:

Provider Business Practice Location Address
First Line	:	7205 S POWER RD STE 100
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-7456
Country	:	US
Telephone Number	:	480-728-6000
Fax Number	:	480-728-6900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/21/2022

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Directions to “ JUDD A SHAFER MD” Practice Location

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