Individual
GEORGE DOUGLAS HAYDEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
555 E BROADWAY AVE # 100, JACKSON, WY 83001-8640
(307) 739-1864
Mailing address
PO BOX 10218, JACKSON, WY 83002-0218
(804) 477-5664
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-1810
WY
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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