Provider Demographics
NPI:1720062904
Name:HAMMER, DAVID BARLOW (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BARLOW
Last Name:HAMMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 HPW/USAFSAM/FECA
Mailing Address - Street 2:2510 5TH ST., BLDG 840
Mailing Address - City:WPAFB
Mailing Address - State:OH
Mailing Address - Zip Code:45433-7913
Mailing Address - Country:US
Mailing Address - Phone:937-938-2773
Mailing Address - Fax:
Practice Address - Street 1:711 HUMAN PERFORMANCE WING/USAFSAM/FECA
Practice Address - Street 2:2510 5TH ST., BLDG 840
Practice Address - City:WPAFB
Practice Address - State:OH
Practice Address - Zip Code:45433-7913
Practice Address - Country:US
Practice Address - Phone:937-938-2773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.071298207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine