Organization
OF THE EARTH WELLNESS
Active
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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