Individual
LOGAN W HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4117 NW 122ND ST STE C, OKLAHOMA CITY, OK 73120-8878
(405) 463-3380
Mailing address
9917 AZTEC DR, NORMAN, OK 73026-5907
(405) 312-7228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4549
OK
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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