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Contact Information

DAVID S HADDOCK
9600 BROADWAY EXT
OKLAHOMA CITY, OK73114-7408
 Phone: 405-230-9000
 Fax: 405-230-9157
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID S HADDOCK · (Male)

NPI Number 1760458210
Status Active
Credentials
Entity Individual
Enumeration date 02/24/2006
Last updated 01/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2005002890
  • OK License # 2055
Hospital affiliation(s)
  • MCBRIDE CLINIC ORTHOPEDIC HOSPITAL L L C - (Acute Care)
    9600 NORTH BROADWAY EXTENSION
    OKLAHOMA CITY, OK 73114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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