MR. DENNIS GLENN HAFFORD PA NPI 1134357338

NPI Information

MR. Dennis Glenn Hafford, PA is a surgical physician assistant in Saint Louis, MO with 14 years of experience. MR. Dennis Glenn Hafford, PA NPI is 1134357338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:2010

The provider's business location address is:

1040 N MASON RD
DIV SURG UROLOGY
SAINT LOUIS, MO
ZIP 63141-399
Phone: (314) 362-8200
Fax: (833) 210-5713

The NPI 1134357338 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2009 and was last updated on 11/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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