Individual
WALTER DUCOTE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12800 COUNTY FARM ROAD, LITTLE ROCK, AR 72223
(501) 425-9139
(501) 868-9677
Mailing address
12800 COUNTY FARM ROAD, LITTLE ROCK, AR 72223
(501) 425-9139
(501) 868-9677
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
C3188
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104652001
—
AR
Enumeration date
06/11/2008
Last updated
04/12/2026
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