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NPI Code Detail

MEDICARE: CHESTER HAYES III PA-C

MEDICARE: CHESTER HAYES III PA-C
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
1363AM0700XMedical Physician Assistant2912AZ

General Provider Information

NPI Number : 1801865480
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHESTER HAYES III PA-C
Provider Business Mailing Address
First Line : 16601 N 40TH ST STE 204
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-3356
Country : US
Telephone Number : 602-996-4747
Fax Number : 602-953-5466
Provider Business Practice Location Address
First Line : 16601 N 40TH ST STE 204
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-3356
Country : US
Telephone Number : 602-996-4747
Fax Number : 602-953-5466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 03/07/2023

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Directions to “ CHESTER HAYES III PA-C” Practice Location

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