Individual
AMANDA HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 SUGAR GROVE RD, TROY, MO 63379-3445
(314) 495-2280
Mailing address
1111 SUGAR GROVE RD, TROY, MO 63379-3445
(314) 495-2280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06382
NC
363A00000X
Physician Assistant
C06061
MD
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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