Individual
DAVID R HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1661 SOQUEL DR STE D, SANTA CRUZ, CA 95065-1709
(831) 458-6925
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44296
WI
207R00000X
Internal Medicine Physician
Primary
C182225
CA
207R00000X
Internal Medicine Physician
L1068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040644903
—
TX
05
—
040644904
—
TX
05
—
040644905
—
TX
05
—
040644906
—
TX
01
—
100003091
WEA
WI
01
—
110237969
RAILROAD MEDICARE
WI
05
—
34216800
—
WI
01
—
390806395021
CHAMPUS
WI
01
—
390806395027
TRICARE
WI
01
—
42239
NETWORK HEALTH PLAN
WI
01
—
44296
TOUCHPOINT
WI
01
—
H29999
CIGNA
WI
Enumeration date
08/28/2006
Last updated
05/09/2023
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