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Organization

55 MDOS

Active
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Organization

55 MDOS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN F HAMILTON PHD (MENAL HEALTH FLIGHT COMMANDER)
(402) 294-7883
Entity
Organization

Contact information

Practice address
55 MDOS SGO, 2501 CAPEHART RD, OFFUTT A F B, NE 68113-1712
(402) 294-7883
Mailing address
55 MDOS SGO, 2501 CAPEHART RD, OFFUTT A F B, NE 68113-1712
(402) 294-7883

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
679
OK

Other

Enumeration date
10/21/2005
Last updated
06/13/2008
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