Provider Demographics
NPI:1083674873
Name:HAYS, LEONARD LEROY (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:LEROY
Last Name:HAYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:708 SUMMIT LAKE SHORE RD NW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-9482
Mailing Address - Country:US
Mailing Address - Phone:360-866-9220
Mailing Address - Fax:360-866-1630
Practice Address - Street 1:9040A FITZSIMMONSS DR (MADIGAN ARMY MED CEN
Practice Address - Street 2:MCHJ-SET
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-1420
Practice Address - Fax:253-968-3154
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00008895207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMD00008895OtherMD LICENSE