Individual
JILL M. HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1100 F AVE, DOUGLAS, AZ 85607-1919
(520) 364-1429
(520) 364-4261
Mailing address
1205 F. AVENUE, DOUGLAS, AZ 85607
(520) 364-1429
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN028867
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428989
—
AZ
Enumeration date
06/21/2006
Last updated
08/15/2008
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