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Individual

BRET COLTER HAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
620 S MADISON ST STE 108, ENID, OK 73701-7270
(580) 977-1901
Mailing address
620 S MADISON ST STE 108, ENID, OK 73701-7270
(580) 977-1901

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6176
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/19/2016
Last updated
08/12/2021
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