Individual
JEFFREY FLINT HAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1805 W UNIVERSITY BLVD, DURANT, OK 74701-3011
(580) 931-5010
(580) 931-5015
Mailing address
1805 W UNIVERSITY BLVD, DURANT, OK 74701-3011
(580) 931-5010
(580) 931-5015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
811
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345749101
—
TX
01
—
P01469754
RR MEDICARE
OK
01
—
P01492274
RR MEDICARE
TX
Enumeration date
03/01/2007
Last updated
09/15/2025
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