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Individual

LAURA ANTONIA HAYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1100 VIRGINIA AVENUE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003506
IL
363A00000X
Physician Assistant
2019043866
MO
363AM0700X
Medical Physician Assistant
085-003506
IL
363AS0400X
Surgical Physician Assistant
085-003506
IL
363AS0400X
Surgical Physician Assistant
Primary
2019043866
MO

Other

Enumeration date
08/04/2009
Last updated
07/08/2024
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