Individual
MRS. JEAN CAROL HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 HIGHLAND AVE, CLARKSTON, WA 99403-2829
(509) 758-5511
(509) 751-9406
Mailing address
1221 HIGHLAND AVE, CLARKSTON, WA 99403-2829
(509) 758-5511
(509) 751-9406
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00034899
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010157589
REGENCE BLUE SHIELD OF IDAHO
—
05
—
806637900
—
ID
05
—
8364952
—
WA
01
—
HB143
BLUE CROSS OF IDAHO
—
Enumeration date
08/10/2006
Last updated
05/16/2008
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