| Organization Name: | HAYDEN FAMILY FOOT AND ANKLE CLINIC, PLLC |
| NPI Number: | 1285863183 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOEL DANIEL HIX (OWNER) |
| Mailing Address: | 8944 N Hess St Suite A Hayden |
| State: | ID US |
| Postal Code: | 838359183 |
| Phone Number: | 2087620909 |
| Fax Number: | 8887620909 |
| NPI Enumeration Date: | 07/13/2009 |
| NPI Last Update Date: | 08/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | P-200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |