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Organization

TOTAL ECLIPSE DMH PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DUSTIN OLEATH HAYES DO (PHYSICIAN)
(469) 427-9708
Entity
Organization

Contact information

Practice address
817 S ELM PL STE C, BROKEN ARROW, OK 74012-5369
(918) 940-4734
(918) 940-4737
Mailing address
817 S ELM PL STE C, BROKEN ARROW, OK 74012-5369
(918) 940-4734
(918) 940-4737

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary

Other

Enumeration date
09/13/2022
Last updated
09/13/2022
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