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Individual

DR. TIMOTHY JOSEPH HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3231 S NATIONAL AVE, SUITE 400, SPRINGFIELD, MO 65807-7304
(417) 888-5664
(417) 888-6799
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009016613
MO
207RR0500X
Rheumatology Physician
2009016613
MO
207RR0500X
Rheumatology Physician
Primary
2013029393
MO
208000000X
Pediatrics Physician
2009016613
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205065109
MO
Enumeration date
07/13/2009
Last updated
10/01/2015
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