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NPI Code Detail

MEDICARE: HAYES PROJECT PLLC

MEDICARE: HAYES PROJECT PLLC
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
1207YX0007XPlastic Surgery within the Head & Neck (Otolaryngology) Physician5281MT

General Provider Information

NPI Number : 1841490661
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAYES PROJECT PLLC
Provider Business Mailing Address
First Line : 2975 STOCKYARD RD
Second Line :
City : MISSOULA
State : MT
Zip : 59808-1557
Country : US
Telephone Number : 406-541-7546
Fax Number : 406-549-5777
Provider Business Practice Location Address
First Line : 2975 STOCKYARD RD
Second Line :
City : MISSOULA
State : MT
Zip : 59808-1557
Country : US
Telephone Number : 406-541-7546
Fax Number : 406-549-5777
Authorized Official
Title or Position : OWNER/MEDICAL DIRECTOR
Name : DR. DAVID MARK HAYES
Credential : M.D.
Telephone Number : 406-541-7546
Provider Enumeration Date : 07/19/2007
Last Update Date : 07/19/2007

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