Individual
TOMMY CHARLES HAYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFA
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
14721 W 808 RD, TAHLEQUAH, OK 74464-1562
(918) 316-2202
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
110215
OK
Other
Enumeration date
08/10/2010
Last updated
08/11/2010
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