Provider Demographics
NPI:1295950673
Name:HAYMOND, ELIZABETH JOANN (DC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:JOANN
Last Name:HAYMOND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8968 E CANYON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:GOLD CANYON
Mailing Address - State:AZ
Mailing Address - Zip Code:85218-3008
Mailing Address - Country:US
Mailing Address - Phone:480-830-1969
Mailing Address - Fax:
Practice Address - Street 1:9903 E BASELINE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212
Practice Address - Country:US
Practice Address - Phone:480-984-7444
Practice Address - Fax:480-984-8222
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4922111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor