Individual
DR. DOUGLAS W HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 RENAISSANCE BLVD, EDMOND, OK 73013-3022
(405) 844-4300
(405) 844-4333
Mailing address
5300 N INDEPENDENCE AVE, STE. 280, OKLAHOMA CITY, OK 73112-5556
(405) 844-4300
(405) 844-4333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22513
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100125790A
—
OK
Enumeration date
03/02/2006
Last updated
07/14/2017
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