Individual
MR. ZACHARY M HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 W ANIMAS ST, FARMINGTON, NM 87401-5616
(505) 609-6300
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2023-0030
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2021
Last updated
11/14/2024
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