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Individual

JOHN MARTIN HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1401 E VAN BUREN AVE, MCALESTER, OK 74501-4245
(918) 426-0240
(918) 423-4051
Mailing address
PO BOX 908, MCALESTER, OK 74502-0908
(918) 426-0240
(918) 423-4051

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19314
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0166707
UMWA
OK
05
100154680A
OK
01
1324230001
PALMETTO DME
OK
01
731310891006
UNICARE
OK
01
731310891028
TRICARE SOUTH
OK
01
74502A019
CHAMPUS (WPS)
OK
01
G02664
STERLING OPTION 1
OK
Enumeration date
04/14/2006
Last updated
04/30/2014
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