Individual
JOSEPH H HAYWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Mailing address
14893 S THUNDER HORSE LN, BLUFFDALE, UT 84065-2114
(360) 722-6393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
13587771-1206
UT
363AM0700X
Medical Physician Assistant
Primary
13587771-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/20/2022
Last updated
04/17/2025
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