Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 4474 | OK |
NPI | 1003828302 |
---|---|
Provider Name | Dr. Myron S Hilton |
First Address | Oklahoma City, OK 73142-5003 |
Second Address | Oklahoma City, OK 73142-5003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 08/07/2007 |