Individual
RUSSELL D HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4424 E FLAMINGO AVE STE 300, NAMPA, ID 83687-9306
(208) 302-0200
(208) 302-0255
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO-05173
IA
207RC0000X
Cardiovascular Disease Physician
Primary
O-1832
ID
208M00000X
Hospitalist Physician
DO-05173
IA
Other
Enumeration date
07/15/2015
Last updated
12/21/2025
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