Individual
DUSTIN RICHARD HAFERBECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-4516
(253) 403-6900
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-4516
(253) 403-6900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60217580
WA
208000000X
Pediatrics Physician
MT190264
PA
Other
Enumeration date
07/02/2007
Last updated
01/24/2012
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