Provider Demographics
NPI:1023335320
Name:HAMPTON, SEAN P (DO)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:P
Last Name:HAMPTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:502 LOGAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-4104
Mailing Address - Country:US
Mailing Address - Phone:814-215-9494
Mailing Address - Fax:814-281-3507
Practice Address - Street 1:3229 PLEASANT VALLEY BLVD STE 1
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4435
Practice Address - Country:US
Practice Address - Phone:814-215-9494
Practice Address - Fax:814-281-3507
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-016045207Q00000X
PAOS016045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine