Individual
BETH S. HAMILTON
Active
Individual
BETH S. HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
336
MT
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-336
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000094843
BCBS PIN
MT
01
—
118363000
MDCD PIN
WY
01
—
4300803
MDCD PIN
MT
Enumeration date
09/03/2006
Last updated
02/24/2022
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