Individual
DR. PETER A HAFTKOWYCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1233 E 2ND ST, CASPER, WY 82601-2926
(307) 577-7201
Mailing address
5140 BLACKMORE RD APT 305, CASPER, WY 82609-4365
(216) 849-3880
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17321A
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2019
Last updated
09/30/2024
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