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1134357338
DENNIS GLENN HAFFORD
SAINT LOUIS, MO
NPI
1134357338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MO 2019043868)
Enumeration Date
2009-06-25
Last Update Date
2021-11-15
Business Address
Mr. DENNIS GLENN HAFFORD PA
1040 N MASON RD DIV SURG UROLOGY
SAINT LOUIS, MO 63141-6399
Phone number: 314-362-8200
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Mailing Address
Mr. DENNIS GLENN HAFFORD PA
660 S EUCLID AVE MSC 8242-22-02
SAINT LOUIS, MO 63110-1010
Phone number: 314-362-8200
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