Individual
BRADLEY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Mailing address
14800 DAVENTRY DR, JONES, OK 73049-9624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3608
TN
363A00000X
Physician Assistant
Primary
4403
OK
363A00000X
Physician Assistant
PA11404
TX
Other
Enumeration date
07/26/2017
Last updated
03/17/2021
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