Organization
WALTER W. HAYES, D.P.M., P.A.
Active
Other names
Family Foot & Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER WADSWORTH HAYES DPM (PRESIDENT)
(870) 934-8200
Entity
Organization
Contact information
Practice address
1000 WINDOVER, SUITE A, JONESBORO, AR 72401
(870) 934-8200
(870) 934-8219
Mailing address
PO BOX 16712, JONESBORO, AR 72403-6711
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
216
AR
213ES0000X
Sports Medicine Podiatrist
216
AR
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
216
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162673748
—
AR
01
—
5F693
BCBS GROUP
AR
01
—
DG6938
RAILROAD GROUP
AR
Enumeration date
07/09/2006
Last updated
05/06/2013
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