Individual
DR. SHAUN CHARLES HAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8577 SUDLEY RD, SUITE A, MANASSAS, VA 20110-3810
(703) 368-7166
(703) 368-5103
Mailing address
8577 SUDLEY RD, SUITE-A, MANASSAS, VA 20110-3810
(703) 368-7166
(703) 368-5103
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301004
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC5940
RAILROAD MEDICARE GROUP
VA
Enumeration date
02/17/2008
Last updated
11/02/2009
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