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NPI Code Detail

MEDICARE: MS. PAIGE M HAMILTON PA

MEDICARE: MS. PAIGE M HAMILTON PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2579AZ

General Provider Information

NPI Number : 1245447820
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAIGE M HAMILTON PA
Provider Business Mailing Address
First Line : 3235 W DONATELLO DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85086-2203
Country : US
Telephone Number : 602-214-8670
Fax Number :
Provider Business Practice Location Address
First Line : 903 N 2ND ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-1906
Country : US
Telephone Number : 602-416-7600
Fax Number : 602-416-7700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 10/29/2012

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