Individual
DR. MICHAEL HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5131 E SOUTHERN AVE, MESA, AZ 85206-2799
(602) 933-0002
(602) 933-6216
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
007926
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506791
—
AZ
Enumeration date
03/24/2016
Last updated
06/06/2019
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