Provider Demographics
NPI:1275370835
Name:DAMERON, WILLIAM HAMPTON
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HAMPTON
Last Name:DAMERON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ROBERT S KERR AVE APT 314
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1837
Mailing Address - Country:US
Mailing Address - Phone:202-931-9322
Mailing Address - Fax:
Practice Address - Street 1:601 ROBERT S KERR AVE APT 314
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1837
Practice Address - Country:US
Practice Address - Phone:202-931-9322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty