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Individual

MICHAEL LEE HASLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-6166
Mailing address
2224 NW 50TH ST, SUITE 276W, OKLAHOMA CITY, OK 73112-8046
(405) 858-2350
(405) 858-2365

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24275
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200054030A
OK
Enumeration date
05/04/2006
Last updated
10/21/2025
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