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Individual

DR. WALTER WADSWORTH HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1000 WINDOVER, SUITE A, JONESBORO, AR 72401
(870) 934-8200
(870) 934-8219
Mailing address
PO BOX 16712, JONESBORO, AR 72403-6711

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
216
AR
213EP1101X
Primary Podiatric Medicine Podiatrist
216
AR
213ES0000X
Sports Medicine Podiatrist
216
AR
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
216
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149111717
AR
05
309032506
MO
01
5X147
BLUE CROSS/ BLUE SHIELD
AR
01
P00449141
RAILROAD PTAN
AR
Enumeration date
06/23/2005
Last updated
03/07/2023
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