MEDICARE: STEVEN MARK HAYDEN M.D.

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	207P00000X	Emergency Medicine Physician	13468	AL

General Provider Information

NPI Number	:	1265408603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN MARK HAYDEN M.D.

Provider Business Mailing Address
First Line	:	76297 TALLASSEE HWY
Second Line	:
City	:	WETUMPKA
State	:	AL
Zip	:	36092-5558
Country	:	US
Telephone Number	:	334-514-1910
Fax Number	:

Provider Business Practice Location Address
First Line	:	76297 TALLASSEE HWY
Second Line	:
City	:	WETUMPKA
State	:	AL
Zip	:	36092-5558
Country	:	US
Telephone Number	:	334-514-1910
Fax Number	:

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

Provider Enumeration Date	:	02/26/2006
Last Update Date	:	12/16/2008

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