Individual
MRS. TIFFANY HAYTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1065 DELAWARE AVE, MARION, OH 43302
(740) 212-5900
Mailing address
1065 DELAWARE AVE, MARION, OH 43302-6461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005451RX
OH
Other
Enumeration date
02/16/2018
Last updated
07/03/2018
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