Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 18028 | OK |
NPI | 1043210370 |
---|---|
Provider Name | Dr. Stephen A Hamilton |
First Address | Midwest City, OK 73110-4321 |
Second Address | Midwest City, OK 73110-4321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 02/07/2012 |