Provider Demographics
NPI:1801097837
Name:HAMMER, ELI J (MD)
Entity type:Individual
Prefix:DR
First Name:ELI
Middle Name:J
Last Name:HAMMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4611 EAST SHEA BLVD
Mailing Address - Street 2:STE 165
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028
Mailing Address - Country:US
Mailing Address - Phone:602-765-4690
Mailing Address - Fax:602-465-4790
Practice Address - Street 1:4611 EAST SHEA BLVD
Practice Address - Street 2:STE 165
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028
Practice Address - Country:US
Practice Address - Phone:602-765-4690
Practice Address - Fax:602-465-4790
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2009-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ17176207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine