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Individual
HAYDEN VERL POULSON
Active
Individual
HAYDEN VERL POULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
11154868-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-000953
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002897
—
AZ
Enumeration date
02/25/2019
Last updated
08/08/2025
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