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Individual

DONALD RAY HAMILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5110 S YALE AVE, SUITE 103, TULSA, OK 74135-7401
(918) 933-4005
(918) 933-6005
Mailing address
5110 S YALE AVE, SUITE 103, TULSA, OK 74135-7401
(918) 933-4005
(918) 933-6005

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
13868
OK
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
13868
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100112700C
OK
Enumeration date
02/08/2006
Last updated
09/20/2016
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