Healthcare Provider Details

I. General information

NPI: 1295972339
Provider Name (Legal Business Name): HAYS FOOT AND ANKLE CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2009
Last Update Date: 07/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8067 MEXICO RD
SAINT PETERS MO
63376-1148
US

IV. Provider business mailing address

8067 MEXICO RD
SAINT PETERS MO
63376-1148
US

V. Phone/Fax

Practice location:
  • Phone: 314-409-2759
  • Fax:
Mailing address:
  • Phone: 314-409-2759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number2006005592
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DAMON HAYS
Title or Position: PRESIDENT
Credential: DPM
Phone: 314-409-2759