Healthcare Provider Details

I. General information

NPI: 1316908916
Provider Name (Legal Business Name): JOSEPH WARNER HAYHURST M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 NE 10TH ST SUITE 16
OKLAHOMA CITY OK
73104-5403
US

IV. Provider business mailing address

3112 NORCREST DR
OKLAHOMA CITY OK
73121-1844
US

V. Phone/Fax

Practice location:
  • Phone: 405-232-1144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number9037
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: