Provider Demographics
NPI:1871681635
Name:HAYS, DAMON (DPM)
Entity Type:Individual
Prefix:
First Name:DAMON
Middle Name:
Last Name:HAYS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8067 MEXICO RD
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1148
Mailing Address - Country:US
Mailing Address - Phone:636-379-2272
Mailing Address - Fax:636-379-2274
Practice Address - Street 1:8067 MEXICO RD
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1148
Practice Address - Country:US
Practice Address - Phone:636-379-2272
Practice Address - Fax:636-379-2274
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO200600592213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist