Individual
RANDY HAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2100
Mailing address
3324 FRENCH PARK DR STE D, EDMOND, OK 73034-7262
(405) 715-3610
(405) 715-3612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
103037
OK
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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