Individual
DARIN R HAIVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12318 SAINT ANDREWS DR, OKLAHOMA CITY, OK 73120-8604
(405) 752-0717
(405) 752-0711
Mailing address
12318 SAINT ANDREWS DR, OKLAHOMA CITY, OK 73120-8604
(405) 752-0717
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21377
OK
207WX0107X
Retina Specialist (Ophthalmology) Physician
21377
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100187820B
—
OK
Enumeration date
03/01/2006
Last updated
04/21/2017
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