Doctor Name: | NATHAN HAMILTON |
NPI Number: | 1326479619 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 7050 Air Depot Blvd Sgof Tinker Afb, OK - 731458716 |
Business Phone Number: | 4055822778 |
Business Fax Number: | |
Mailing Address: | 7050 Air Depot Blvd, Sgof TINKER AFB |
State: | OK |
Postal Code: | 73145 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/11/2013 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |