Organization · Type 2 NPI

Mary Hafer, MD

Specialist · Meridian, ID

NPI number 1154610731 Active

Practice location

2971 E Copper Point Dr, Suite # 125
Meridian, ID 83642-5101

Call (208) 893-5383 Map

Fax (208) 893-5386

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XM-7753 (ID)
Medical Physician Assistant 363AM0700XPA-895 (ID)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8 other providers at this address

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About NPI 1154610731

Mary Hafer, MD's National Provider Identifier is 1154610731, issued on Apr 4, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Meridian, ID. The record was last updated on Apr 4, 2011.