Individual
DR. NANCY J. HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 W 16TH ST, MOUNTAIN GROVE, MO 65711-1039
(417) 926-6111
(417) 926-6115
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8G15
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202401303
—
MO
Enumeration date
11/20/2006
Last updated
07/17/2008
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