Individual
DR. LESLIE A HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2010 INDUSTRIAL PARK RD, ESPANOLA, NM 87532-3600
(505) 753-7395
(505) 753-8373
Mailing address
PO BOX 158, 538 N. PASEO DE ONATE, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95-71
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27292
—
NM
01
—
NM400313
MEDICARE PTAN
NM
Enumeration date
08/31/2005
Last updated
07/01/2013
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