Individual
DR. THOMAS EDWARD HAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17065 S 71 HIGHWAY, BELTON, MO 64012
(816) 348-1200
Mailing address
10901 GRANADA LN, STE.200, OVERLAND PARK, KS 66211-1401
(913) 660-1616
(913) 660-1664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-29021
KS
207R00000X
Internal Medicine Physician
Primary
100308
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100453630 B
—
KS
05
—
100453630C
—
KS
01
—
18213033
BCBS
—
05
—
203379615
—
MO
01
—
4207454
AETNA
—
01
—
905660
FIRST HEALTH
—
01
—
P00357734
RR MCR
MO
Enumeration date
09/29/2005
Last updated
01/29/2008
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