# MARTY HURLBUT, M.D., PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467670802
- **Authorized official:** DR. KEVIN MARTIN HURLBUT M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (479) 444-2207

## Contact information

- **Practice address:** 153 E MONTE PAINTER DR, FAYETTEVILLE, AR 72703-4002
- **Practice address phone:** (479) 444-2207
- **Practice address fax:** (479) 444-2381
- **Mailing address:** PO BOX 8638, FAYETTEVILLE, AR 72703-0011
- **Mailing address phone:** (479) 444-2207
- **Mailing address fax:** (479) 444-2381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | N8015 | AR | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 09/25/2013