Organization
OF THE EARTH WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LONGEVAL HAMILTON JR. N.M.D. (NATUROPATHIC MEDICAL DOCTOR)
(757) 871-1880
Entity
Organization
Contact information
Practice address
6236 S 10TH ST, PHOENIX, AZ 85042-4312
(757) 871-1880
Mailing address
6236 S 10TH ST, PHOENIX, AZ 85042-4312
(757) 871-1880
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
099.0099012
VT
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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