Healthcare Provider Details

I. General information

NPI: 1609066117
Provider Name (Legal Business Name): HAYMAN MULTICARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 02/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13629 W CAMINO DEL SOL STE 150 SUITE 150
SUN CITY WEST AZ
85375-1402
US

IV. Provider business mailing address

13629 W CAMINO DEL SOL STE 150 SUITE 150
SUN CITY WEST AZ
85375-1402
US

V. Phone/Fax

Practice location:
  • Phone: 623-584-6500
  • Fax: 623-584-6500
Mailing address:
  • Phone: 623-584-6500
  • Fax: 623-584-6500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number216
License Number StateAZ

VIII. Authorized Official

Name: DR. BRAD L. HAYMAN
Title or Position: OWNER/PHYSICIAN
Credential: D.P.M.
Phone: 623-584-6500