Provider Demographics
NPI:1518174515
Name:HAYWOOD, BRETT LEDON (MD)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:LEDON
Last Name:HAYWOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7520 N ORACLE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4448
Mailing Address - Country:US
Mailing Address - Phone:520-327-9677
Mailing Address - Fax:520-327-9678
Practice Address - Street 1:7520 N ORACLE RD
Practice Address - Street 2:STE 200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4448
Practice Address - Country:US
Practice Address - Phone:520-327-9677
Practice Address - Fax:520-327-9678
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ36834207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine