Basic Information
| Provider Information | |||||||||
| NPI: | 1427118801 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAYS | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | DENNIS | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1007 39TH AVE SE | ||||||||
| Address2: | PUYALLUP MEDICAL CENTER | ||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983753308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2534353100 | ||||||||
| FaxNumber: | 2534353138 | ||||||||
| Practice Location | |||||||||
| Address1: | 11102 SUNRISE BLVD E | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | PUYALLUP | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98374 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2538488797 | ||||||||
| FaxNumber: | 2538450100 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2006 | ||||||||
| LastUpdateDate: | 03/30/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | PA10003896 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.