Dr. Mark Louis Halfman, DO
General Practice in Apo, AE. Individual provider (NPI-1).
NPI number1215694591
StatusActive
Last updated in NPPESApr 22, 2025
Details
- NPI
- 1215694591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Louis Halfman
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2021
- Certification date
- Apr 22, 2025
- Last updated
- Apr 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 02007415A | IN | Yes |
| 171000000X | Military Health Care Provider | 02007415A | IN |
Practice location
Cmr 411Apo, AE 09112
Phone 314-599-1850
Mailing address
4801 Campbell StValparaiso, IN 46385-1002
Phone 314-599-1850
Other practice locations
9040 Jackson Ave
Tacoma, WA 98431-5084
Tacoma, WA 98431-5084
Phone 253-968-0117
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