Hurst Osteopathic Medicine, A Professional Corporation | |
632 W 11th St Suite 119 Tracy CA 95376-3856 | |
(209) 832-5500 | |
(209) 832-5505 |
Full Name | Hurst Osteopathic Medicine, A Professional Corporation |
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Speciality | Internal Medicine |
Location | 632 W 11th St, Tracy, California |
Authorized Official Name and Position | Michael D Hurst (PHYSICIAN) |
Authorized Official Contact | 2098325500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hurst Osteopathic Medicine, A Professional Corporation 632 W 11th St Suite 119 Tracy CA 95376-3856 Ph: (209) 832-5500 | Hurst Osteopathic Medicine, A Professional Corporation 632 W 11th St Suite 119 Tracy CA 95376-3856 Ph: (209) 832-5500 |
NPI Number | 1881990513 |
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Provider Enumeration Date | 01/27/2011 |
Last Update Date | 02/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881990513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20A8081 (California) | Primary |
208000000X | Pediatrics | 20A8081 (California) | Secondary |
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