Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 16484 | OK |
NPI | 1013979335 |
---|---|
Provider Name | Charles Hayward Hill |
First Address | Tulsa, OK 74135-5004 |
Second Address | Tulsa, OK 74135-5004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 18/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100095570A | (05) | OK |
E95683 | (02) | OK |