Individual
TYRONE TROY HAFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 N 1680 E STE D1, ST GEORGE, UT 84790-2576
(435) 610-1696
Mailing address
230 N 1680 E STE D1, ST GEORGE, UT 84790-2576
(435) 610-1696
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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