Individual
PAUL HAYES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8911 LIBERTY MILLS RD, FORT WAYNE, IN 46804-6311
(260) 373-9465
(260) 266-9406
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002706A
IN
Other
Enumeration date
05/24/2019
Last updated
03/02/2023
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