Organization
HAYDEN FAMILY FOOT AND ANKLE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL DANIEL HIX D.P.M. (OWNER)
(509) 879-9029
Entity
Organization
Contact information
Practice address
8944 N HESS ST, SUITE A, HAYDEN, ID 83835-9183
(208) 762-0909
(888) 762-0909
Mailing address
8944 N HESS ST, SUITE A, HAYDEN, ID 83835-9183
(208) 762-0909
(888) 762-0909
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
P-200
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285863183
—
ID
05
—
8084226
—
ID
Enumeration date
07/13/2009
Last updated
08/12/2013
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