NPI 1619641636

Tyrone Troy Hafen

Practitioner Peer Specialist St George, UT

Practice location

Address: 230 N 1680 E STE D1, St George, UT 84790-2576
Phone: (435) 610-1696

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1619641636
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2021
Record last updated: 3 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.