| Evan B Hurst, Md, Internal Medicine, Pc | |
|
721 W 13th St Suite 322 Jasper IN 47546-1855 | |
| (812) 309-3055 | |
| Not Available |
| Full Name | Evan B Hurst, Md, Internal Medicine, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 721 W 13th St, Jasper, Indiana |
| Authorized Official Name and Position | Evan B Hurst (OWNER) |
| Authorized Official Contact | 8126308660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evan B Hurst, Md, Internal Medicine, Pc Po Box 786 Jasper IN 47547-0786 Ph: (812) 309-3055 | Evan B Hurst, Md, Internal Medicine, Pc 721 W 13th St Suite 322 Jasper IN 47546-1855 Ph: (812) 309-3055 |
| NPI Number | 1427482074 |
|---|---|
| Provider Enumeration Date | 08/29/2013 |
| Last Update Date | 08/29/2013 |
| Medicare PECOS PAC ID | 2062655293 |
|---|---|
| Medicare Enrollment ID | O20130906000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427482074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 01042311 (Indiana) | Primary |
| Provider Name | Evan B Hurst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265460935 PECOS PAC ID: 4688696370 Enrollment ID: I20100825000296 |
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