Individual
DANIEL HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(701) 412-8119
Mailing address
4172 S ROCKFORD PL, TULSA, OK 74105-4046
(701) 412-8119
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
HAM-986784
ND
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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