# TOTAL ECLIPSE DMH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447972864
- **Authorized official:** DR. DUSTIN OLEATH HAYES DO (PHYSICIAN)
- **Authorized official phone:** (469) 427-9708

## Contact information

- **Practice address:** 817 S ELM PL STE C, BROKEN ARROW, OK 74012-5369
- **Practice address phone:** (918) 940-4734
- **Practice address fax:** (918) 940-4737
- **Mailing address:** 817 S ELM PL STE C, BROKEN ARROW, OK 74012-5369
- **Mailing address phone:** (918) 940-4734
- **Mailing address fax:** (918) 940-4737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2022
- **Last updated:** 09/13/2022