Provider Demographics
NPI:1063087906
Name:HAMILTON, CURTIS DALE (DPM)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:DALE
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 N MUSTANG RD
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-7002
Mailing Address - Country:US
Mailing Address - Phone:405-376-1115
Mailing Address - Fax:405-366-1669
Practice Address - Street 1:551 N MUSTANG RD
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-7002
Practice Address - Country:US
Practice Address - Phone:405-376-1115
Practice Address - Fax:405-366-7669
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-24
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK393213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty