Individual provider · Type 1 NPI
Stephen Haynam
Foot & Ankle Surgery Podiatrist · Vallejo, CA
NPI number
1235511627
Active
Practice location
975 Sereno Dr
Vallejo, CA 94589-2441
Mailing address
1222 Halifax Ave
Davis, CA 95616-2734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | EL6740 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1235511627
Stephen Haynam's National Provider Identifier is 1235511627, issued on Jun 23, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Vallejo, CA. The record was last updated on Jun 23, 2015.