# DR. BRUCE T HAYWARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1235181504
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 8121 | MT | Yes |
| 207Q00000X | Family Medicine Physician | O-0396 | ID | — |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 10/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3503279 | — | MT |