Individual
DR. MELISSA A. HAYES BALMADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2010-01759
NC
2085R0202X
Diagnostic Radiology Physician
Primary
MD60271805
WA
390200000X
Student in an Organized Health Care Education/Training Program
141595
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158600
PTAN
WA
05
—
2022789
—
WA
Enumeration date
05/01/2008
Last updated
04/11/2017
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