Healthcare Provider Details

I. General information

NPI: 1447334941
Provider Name (Legal Business Name): DEBORAH ELIZABETH HAMILTON MD, MSPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 30TH ST SUITE #304
BOULDER CO
80301-1088
US

IV. Provider business mailing address

1800 30TH ST SUITE #304
BOULDER CO
80301-1088
US

V. Phone/Fax

Practice location:
  • Phone: 303-442-0107
  • Fax: 303-442-3317
Mailing address:
  • Phone: 303-442-0107
  • Fax: 303-442-3317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number37625
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: