Stephen H. Haynes, MD
General Practice in Clovis, NM. Individual provider (NPI-1).
NPI number1790735587
StatusActive
Last updated in NPPESOct 17, 2024
Details
- NPI
- 1790735587
- Entity type
- Individual (NPI-1)
- Name
- Stephen H. Haynes
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2006
- Certification date
- Oct 17, 2024
- Last updated
- Oct 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 82-61 | NM | Yes |
Practice location
1833 W 21st StClovis, NM 88101-4023
Phone 575-763-5585 · Fax 575-763-6051
Mailing address
1833 W 21st StClovis, NM 88101-4023
Phone 575-763-5585 · Fax 575-763-6051
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