Madison Breanne Hayes, PA-C
Physician Assistant in Tulsa, OK. Individual provider (NPI-1).
NPI number1629629902
StatusActive
Last updated in NPPESJul 14, 2023
Details
- NPI
- 1629629902
- Entity type
- Individual (NPI-1)
- Name
- Madison Breanne Hayes
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2019
- Certification date
- Jul 14, 2023
- Last updated
- Jul 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 3152 | OK | Yes |
Practice location
6655 S Yale AveTulsa, OK 74136-3326
Phone 918-491-3700
Mailing address
6600 S Yale Ave Ste 1400Tulsa, OK 74136-3331
Phone 888-247-0125 · Fax 918-502-8210
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