Organization · NPI-2

Ann Ewalt Hamilton MD Medical Corp

Family Medicine · Riverside, CA

NPI number1700871001
StatusActive
Last updated in NPPESDec 28, 2012

Details

NPI
1700871001
Entity type
Organization (NPI-2)
Legal business name
Ann Ewalt Hamilton MD Medical Corp
Organization subpart
No
Enumeration date
Sep 13, 2005
Last updated
Dec 28, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineG22428CAYes

Practice location

4294 Orange St
Riverside, CA 92501-3827

Phone 951-788-0210 · Fax 951-788-6330

Mailing address

4294 Orange St
Riverside, CA 92501-3827

Phone 951-788-0210 · Fax 951-788-6330

Authorized official

Ann Ewalt Hamilton
Director Ceo
9517880210

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