Individual
JACOB ASHER HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 N LEE AVE STE 200, OKLAHOMA CITY, OK 73103-2612
(405) 218-2530
(405) 218-2535
Mailing address
1110 N LEE AVE STE 200, OKLAHOMA CITY, OK 73103-2612
(405) 218-2530
(405) 218-2535
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2012017902
MO
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
33602
OK
Other
Enumeration date
06/21/2012
Last updated
06/22/2023
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