Individual
GERALD L HAYWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 KOHLER LN, MIDWAY, UT 84049-6001
(435) 654-5702
Mailing address
909 KOHLER LN, MIDWAY, UT 84049-6001
(435) 654-5702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
149723-1205
UT
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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