Individual provider · Type 1 NPI
Bruce Hayse, M. D.
General Practice Physician · Jackson, WY
NPI number
1154491579
Active
Practice location
269 West Broadway
Jackson, WY 83001-1884
Fax (307) 739-8890
Mailing address
PO Box 1884
Jackson, WY 83001-1884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 3433A (WY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1154491579
Bruce Hayse, M. D.'s National Provider Identifier is 1154491579, issued on Nov 9, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jackson, WY. The record was last updated on Jul 8, 2007.