Organization
HAMILTON FACIAL PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HAMILTON MD (OWNER)
(317) 859-3810
Entity
Organization
Contact information
Practice address
533 E COUNTY LINE RD, STE 104, GREENWOOD, IN 46143-1073
(317) 859-3810
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 870-6754
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200887100
—
IN
Enumeration date
08/25/2006
Last updated
02/18/2014
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