Individual
RANDALL RAY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
19636 N 27TH AVE, SUITE 106, PHOENIX, AZ 85027
(623) 516-8252
(623) 516-8253
Mailing address
5281 N 99TH AVE, SUITE 100, GLENDALE, AZ 85305-3105
(623) 516-8252
(623) 516-8253
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP1481
AZ
Other
Enumeration date
08/10/2006
Last updated
03/19/2014
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