Organization
ALLEN J HAMAKER, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN J HAMAKER MD (COO)
(405) 949-6481
Entity
Organization
Contact information
Practice address
3613 NW 56TH ST, SUITE 140, OKC, OK 73112
(405) 949-6481
(405) 795-5908
Mailing address
3613 NW 56TH ST., SUITE 140, OKC, OK 73112
(405) 949-6481
(405) 795-5908
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
20735
OK
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100060090A
—
OK
Enumeration date
11/09/2006
Last updated
09/25/2014
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