MEDICARE: DRS. DAVIS & HAFNER PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	0101029978	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740447143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS. DAVIS & HAFNER PC

Provider Business Mailing Address
First Line	:	8550 ARLINGTON BLVD
Second Line	:	201
City	:	FAIRFAX
State	:	VA
Zip	:	22031-4634
Country	:	US
Telephone Number	:	703-698-2066
Fax Number	:	703-698-7928

Provider Business Practice Location Address
First Line	:	8550 ARLINGTON BLVD
Second Line	:	201
City	:	FAIRFAX
State	:	VA
Zip	:	22031-4634
Country	:	US
Telephone Number	:	703-698-2066
Fax Number	:	703-698-7928

Authorized Official
Title or Position	:	PRACTICE ADMIN.
Name	:	MS. SHERRIE NARINE
Credential	:
Telephone Number	:	703-698-2066

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	11/12/2008

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