OrganizationActive
Total Eclipse Dmh PLLC
NPI 1447972864 · Addiction Medicine (Psychiatry & Neurology) Physician · Broken Arrow, OK
Provider details
- NPI number
- 1447972864
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dustin Hayes, Physician(469) 427-9708
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
817 S Elm Pl Ste C
Broken Arrow, OK 74012-5369
Phone: (918) 940-4734
Fax: (918) 940-4737
Approximate (ZIP-level) locationGet directions
Mailing address
817 S Elm Pl Ste C
Broken Arrow, OK 74012-5369
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2022-09-13
- Certified
- 2022-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.