Individual
ROBERT SHELBY HAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 KURT DR, STE 102, ANGELS CAMP, CA 95222
(209) 736-6760
(209) 736-0450
Mailing address
PO BOX 309, ANGELS CAMP, CA 95222-0309
(209) 736-6760
(209) 736-0450
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G070921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0975590001
PALMETTO GBA
CA
Enumeration date
06/13/2006
Last updated
01/13/2020
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