Individual
STANLEY R. HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C169583
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L1507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220025829
RR MEDICARE
TX
05
—
38796101
—
TX
01
—
81732X
BCBS
TX
Enumeration date
10/05/2006
Last updated
11/27/2023
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