Provider Demographics
NPI:1851521173
Name:SHAFFER, HARVEY (DVM)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:
Last Name:SHAFFER
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5602
Mailing Address - Country:US
Mailing Address - Phone:303-651-3039
Mailing Address - Fax:303-651-7691
Practice Address - Street 1:20 3RD AVE
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5602
Practice Address - Country:US
Practice Address - Phone:303-651-3039
Practice Address - Fax:303-651-7691
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2633174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian