# GRACE A HAYNES PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316116841
- **Authorized official:** DR. GRACE ANDREA HAYNES MD (PRESIDENT)
- **Authorized official phone:** (480) 505-3276

## Contact information

- **Practice address:** 4824 E BASELINE RD STE 140, MESA, AZ 85206
- **Practice address phone:** (480) 505-3276
- **Practice address fax:** (480) 545-9594
- **Mailing address:** 4824 E BASELINE RD STE 140, MESA, AZ 85206-4680
- **Mailing address phone:** (480) 969-4040
- **Mailing address fax:** (480) 830-1042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2008
- **Last updated:** 06/12/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 199895 | — | AZ |