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Individual

PAUL HAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1300 N 12TH ST, PHOENIX, AZ 85006-2848
(602) 839-6968
(602) 839-4144
Mailing address
30024 N HOLLY RD, QUEEN CREEK, AZ 85142-8794

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000864
IA
363A00000X
Physician Assistant
Primary
4651
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
49023
BX
IA
01
930097501
RR MC
IA
Enumeration date
11/14/2005
Last updated
10/12/2011
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