Individual
MARK ANTHONY VAN HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
521 MCALISTER DR, BULLHEAD CITY, AZ 86442-4203
(928) 234-4943
(928) 763-6107
Mailing address
521 MCALISTER DR, BULLHEAD CITY, AZ 86442-4203
(928) 234-4943
(928) 763-6107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN151988
AZ
163W00000X
Registered Nurse
RN72655
NV
Other
Enumeration date
03/07/2007
Last updated
12/06/2012
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