Individual
DR. DARCI RENEE HAZELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7333 N 199TH EAST AVE, OWASSO, OK 74055-5869
(918) 720-3711
Mailing address
7333 N 199TH EAST AVE, OWASSO, OK 74055-5869
(918) 720-3711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4193
OK
2083A0100X
Aerospace Medicine Physician
Primary
4193
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200215950A
—
OK
Enumeration date
04/27/2006
Last updated
04/19/2025
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