Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Hafer, MD

Organization Specialist · NPI 1154610731

Mary Hafer, MD is a Specialist in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
Specialties on file
2

Practice location Address checks out

2971 E Copper Point Dr Ste # 125
Meridian, ID 83642-5101
Phone: (208) 893-5383
Fax: (208) 893-5386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M-7753 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-895 (ID)

Record details

NPI number1154610731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Loucao — Office Manager · (208) 893-5383
NPI enumeratedApril 4, 2011
Last updated in NPPESApril 4, 2011
Mailing address2971 E Copper Point Dr, Suite # 125, Meridian, ID 83642-5101

Other providers in Meridian