Individual
DR. SANFORD TODD HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1175 E 50 S STE 211, AMERICAN FORK, UT 84003-2845
(801) 418-0870
(801) 418-0871
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
7310292-1205
UT
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
R0986
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7310292-1205
STATE LICENSE
UT
Enumeration date
01/31/2007
Last updated
11/27/2023
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