Individual
DR. BRET RICE HAYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4716 W URBANA ST, SUITE 211, BROKEN ARROW, OK 74012-5997
(918) 994-5200
(918) 994-5222
Mailing address
8121 NATIONAL AVE, STE 309, MIDWEST CITY, OK 73110-7572
(405) 628-3666
(405) 272-4027
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
28286
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200424280A
—
OK
Enumeration date
03/24/2006
Last updated
09/22/2016
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