NPI 1447972864

Total Eclipse Dmh PLLC

Organisation Addiction Medicine (Psychiatry & Neurology) Physician Broken Arrow, OK

Practice location

Address: 817 S Elm Pl STE C, Broken Arrow, OK 74012-5369
Phone: (918) 940-4734
Fax: (918) 940-4737

Authorised official

Name: Dustin Oleath Hayes
Title: Physician
Phone: (469) 427-9708

Registered specialties

Addiction Medicine (Psychiatry & Neurology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084A0401X

Other Psychiatry & Neurology providers in Oklahoma →

Registry record

NPI: 1447972864
Entity type: Organization
NPI issued: 13 Sep 2022
Record last updated: 13 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.