Doctor Name: | DR. DUSTIN O'LEATH HAYES |
NPI Number: | 1184981144 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 5382 |
Business Practice Address: | 400 Wyandotte Ramona, OK - 74061 |
Business Phone Number: | 9185361024 |
Business Fax Number: | |
Mailing Address: | 400 Wyandotte, P.o. Box 420 RAMONA |
State: | OK |
Postal Code: | 74061 |
Phone Number: | 9185361024 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2012 |
NPI Last Update Date: | 04/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5382 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |