Individual
DR. CLARK HAMILTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12716 NE 36TH ST, SPENCER, OK 73084-9103
(405) 769-3301
(405) 769-9685
Mailing address
PO BOX 30589, MIDWEST CITY, OK 73140-3589
(405) 769-3301
(405) 769-9685
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19916
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19916
MEDICAL LICENSE
OK
Enumeration date
12/01/2005
Last updated
07/09/2007
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