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Individual

DR. HAMPTON W ANDERSON III

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
(580) 286-1189
Mailing address
306 CAMPBELL ST, BROKEN BOW, OK 74728-3142
(580) 584-3835

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-24017
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8EZ13T
OK
Enumeration date
02/07/2006
Last updated
03/07/2023
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