MEDICARE: DAVID MARK HAYES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	5281	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205823416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MARK HAYES MD

Provider Business Mailing Address
First Line	:	2975 STOCKYARD RD
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1557
Country	:	US
Telephone Number	:	406-541-7546
Fax Number	:	406-549-5777

Provider Business Practice Location Address
First Line	:	2975 STOCKYARD RD
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1557
Country	:	US
Telephone Number	:	406-541-7546
Fax Number	:	406-549-5777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	02/03/2026

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