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Organization
HURST OSTEOPATHIC MEDICINE, A PROFESSIONAL CORPORATION
Active
Organization
HURST OSTEOPATHIC MEDICINE, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D HURST D.O. (PHYSICIAN)
(209) 832-5500
Entity
Organization
Contact information
Practice address
632 W 11TH ST, SUITE 119, TRACY, CA 95376-3856
(209) 832-5500
(209) 832-5505
Mailing address
632 W 11TH ST, SUITE 119, TRACY, CA 95376-3856
(209) 832-5500
(209) 832-5505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A8081
CA
208000000X
Pediatrics Physician
20A8081
CA
Other
Enumeration date
01/27/2011
Last updated
02/06/2013
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