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Individual

DRU W HAYHURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2701 N ROCKWELL AVE, BETHANY, OK 73008-5246
(405) 789-4150
(405) 787-7920
Mailing address
4401 W MEMORIAL RD, SUITE 141; ATTN: TERRI, OKLAHOMA CITY, OK 73134-1785
(405) 936-5800
(405) 936-5211

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20332
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100252260A
OK
01
20332
LICENSE
OK
01
24858
OBNDD
OK
Enumeration date
06/03/2006
Last updated
05/18/2008
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