Provider Demographics
NPI:1043273360
Name:HILL, ALFRED DODGE JR (MD)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:DODGE
Last Name:HILL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 26168
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-0168
Mailing Address - Country:US
Mailing Address - Phone:405-947-8585
Mailing Address - Fax:405-948-6507
Practice Address - Street 1:3300 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4418
Practice Address - Country:US
Practice Address - Phone:405-951-2815
Practice Address - Fax:405-948-6507
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OK8706207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK4433883272PMedicaid
D31999Medicare UPIN