Healthcare Provider Details

I. General information

NPI: 1326345265
Provider Name (Legal Business Name): HAYLE ALDREN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2011
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 N 91ST ST STE A115
SCOTTSDALE AZ
85258-5036
US

IV. Provider business mailing address

515 E CAREFREE HWY # 484
PHOENIX AZ
85085-8839
US

V. Phone/Fax

Practice location:
  • Phone: 602-612-8929
  • Fax:
Mailing address:
  • Phone: 623-521-2930
  • Fax: 888-484-0212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number114
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number47294
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: