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NPI Code Detail

MEDICARE: MR. DAVID LEMAR HAMILTON PA-C, MPH

MEDICARE: MR. DAVID LEMAR HAMILTON PA-C, MPH
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 Assistant1033611
2363A00000XPhysician Assistant011211-1NY

General Provider Information

NPI Number : 1487631289
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID LEMAR HAMILTON PA-C, MPH
Provider Business Mailing Address
First Line : 1650 COCHRANE CIR
Second Line : BLDG 7505
City : FORT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-526-2092
Fax Number : 719-526-7732
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR
Second Line : BLDG 7505
City : FORT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-526-2092
Fax Number : 719-526-7732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 02/03/2016

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