Provider Demographics
NPI:1093572448
Name:HAMILTON, ISAAC GOLD (MA)
Entity Type:Individual
Prefix:MR
First Name:ISAAC
Middle Name:GOLD
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 NW 42ND ST APT A
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-2508
Mailing Address - Country:US
Mailing Address - Phone:405-965-1969
Mailing Address - Fax:
Practice Address - Street 1:11 NE 11TH ST # 213
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-1417
Practice Address - Country:US
Practice Address - Phone:405-965-1969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath