Organization
DUSTIN O. HAYES, D.O., P.C.
Active
Other names
Eclipse Mental Health Services, Eclipse Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN O'LEATH HAYES DO (PRESIDENT)
(918) 940-4734
Entity
Organization
Contact information
Practice address
817 S ELM PL, SUITE C, BROKEN ARROW, OK 74012-5369
(918) 940-4734
(918) 940-4737
Mailing address
817 S ELM PL, SUITE C, BROKEN ARROW, OK 74012-5369
(918) 940-4734
(918) 940-4737
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
5382
OK
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200678490A
—
OK
Enumeration date
11/23/2016
Last updated
04/06/2020
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