Provider Demographics
NPI:1922774629
Name:PEEK, HAYDEN ALEXANDER
Entity Type:Individual
Prefix:
First Name:HAYDEN
Middle Name:ALEXANDER
Last Name:PEEK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E IMHOFF RD APT 3007
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-4072
Mailing Address - Country:US
Mailing Address - Phone:972-465-0065
Mailing Address - Fax:
Practice Address - Street 1:1601 E IMHOFF RD APT 3007
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-4072
Practice Address - Country:US
Practice Address - Phone:972-465-0065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-22
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator