institution
Mary Hafer, Md
Medical Physician Assistant in Meridian, Idaho
NPI 1154610731

Mary Hafer, Md is a Medical Physician Assistant based in Meridian, ID and is specialized in Medical. Mary Hafer, Md practices in Meridian, ID. The NPI Number for Mary Hafer, Md is 1154610731 and holds a License No. M-7753 (Idaho).

The current practice location address for Mary Hafer, Md is 2971 E Copper Point Dr, Meridian, ID and can be reached out via phone at 208-893-5383 and via fax at 208-893-5386.

Location: 2971 E Copper Point Dr, Meridian, ID, 83642-5101
institution
Provider Profile Details
NPI Number
1154610731
Provider Name
Mary Hafer, Md
Credential
Provider Entity Type
Organization
Address
2971 E Copper Point Dr, Meridian, ID, 83642-5101
Phone Number
208-893-5383
Fax Number
208-893-5386
Provider Enumeration Date
04/04/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M-7753 01 ID IDAHO STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2971 E Copper Point Dr
City
State
Zip
83642-5101
Phone Number
208-893-5383
Fax Number
208-893-5386
person
Provider Business Mailing Address Details
Address
2971 E Copper Point Dr
City
State
Zip
83642-5101
Phone Number
208-893-5383
Fax Number
208-893-5386
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
PA-895 (Idaho)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
M-7753 (Idaho)
Definition
Definition to come...
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