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NPI Code Detail

MEDICARE: MACY ANALISA HAIGHT

MEDICARE:   MACY ANALISA HAIGHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1619711207
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACY ANALISA HAIGHT
Provider Business Mailing Address
First Line : 717 S HOUSTON AVE STE 500
Second Line :
City : TULSA
State : OK
Zip : 74127-9008
Country : US
Telephone Number : 806-736-0441
Fax Number :
Provider Business Practice Location Address
First Line : 744 W 9TH ST
Second Line :
City : TULSA
State : OK
Zip : 74127-9020
Country : US
Telephone Number : 918-582-1972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2024
Last Update Date : 06/01/2026

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Directions to “ MACY ANALISA HAIGHT ” Practice Location

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