KC HAFEN

ST GEORGE, UT
NPI1194740522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  2849081206)
Enumeration Date2006-07-13
Last Update Date2009-10-07
Business Address
-- KC HAFEN PA
652 SOUTH MEDICAL CENTER DRIVE SUITE 400
ST GEORGE, UT 84790
Phone number: 435-251-2650
Mailing Address
-- KC HAFEN PA
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 435-251-2650
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