# J. DAVID HURTADO, M.D.

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

## Provider details

- **NPI number:** 1629064993
- **Authorized official:** DR. J. DAVID HURTADO M.D. (OWNER)
- **Authorized official phone:** (602) 253-2813

## Contact information

- **Practice address:** 525 N 18TH ST, 402, PHOENIX, AZ 85006-4102
- **Practice address phone:** (602) 253-2813
- **Practice address fax:** (602) 253-2815
- **Mailing address:** 525 N 18TH ST, 402, PHOENIX, AZ 85006-3746
- **Mailing address phone:** (602) 253-2813
- **Mailing address fax:** (602) 253-2815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2005
- **Last updated:** 08/22/2020