Provider Demographics
NPI:1427118801
Name:HAYS, ROBERT DENNIS (PA-C)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:DENNIS
Last Name:HAYS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1007 39TH AVE SE
Mailing Address - Street 2:PUYALLUP MEDICAL CENTER
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:98375-3308
Mailing Address - Country:US
Mailing Address - Phone:253-435-3100
Mailing Address - Fax:253-435-3138
Practice Address - Street 1:11102 SUNRISE BLVD E
Practice Address - Street 2:SUITE 103
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374
Practice Address - Country:US
Practice Address - Phone:253-848-8797
Practice Address - Fax:253-845-0100
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPA10003896363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical