Individual
DR. THOMAS EDWARD HAFER
Active
Individual
DR. THOMAS EDWARD HAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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