Total Eclipse Dmh Pllc
NPI #1447972864 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1447972864
- Entity Type
- Organization
- Organization Name
- Total Eclipse Dmh Pllc
- Primary Specialty
- Psychiatry & Neurology - Addiction Medicine
- Enumeration Date
- Sep 13, 2022
- Last Updated
- Sep 13, 2022
Practice Location
- Address
- 817 S ELM PL STE C
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-5369
- Phone
- (918) 940-4734
Authorized Official
- Name
- DR. DUSTIN OLEATH HAYES, DO
- Title
- PHYSICIAN
- Phone
- (469) 427-9708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Addiction Medicine — Addiction Medicine |
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