Individual
DWIGHT ANTONY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2530 S TELSHOR BLVD, SUITE 207, LAS CRUCES, NM 88011-4951
(575) 522-6806
(575) 521-8033
Mailing address
PO BOX 6310, LAS CRUCES, NM 88006-6310
(575) 556-6400
(575) 556-6405
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
032747
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
20349
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD2009-0566
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73258547
—
NM
01
—
P00875672
RR MEDICARE
NM
Enumeration date
09/30/2005
Last updated
04/12/2016
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