Individual provider · NPI-1

Dr. Leslie A Hayes, M.D.

Family Medicine · Espanola, NM

NPI number1982697330
StatusActive
Last updated in NPPESJul 1, 2013

Details

NPI
1982697330
Entity type
Individual (NPI-1)
Name
Dr. Leslie A Hayes
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2005
Last updated
Jul 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine95-71NMYes

Practice location

2010 Industrial Park Rd
Espanola, NM 87532-3600

Phone 505-753-7395 · Fax 505-753-8373

Mailing address

Po Box 158
538 N. Paseo De Onate
Espanola, NM 87532-0158

Phone 505-753-7218 · Fax 505-753-5815

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