Individual
DR. EVA A HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
390 OFFICE COURT, FAIRVIEW HEIGHTS, IL 62208
(618) 233-7666
(618) 233-7461
Mailing address
390 OFFICE COURT, FAIRVIEW HEIGHTS, IL 62208
(618) 233-7666
(618) 233-7461
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
2007020114
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207346008
—
MO
05
—
ENROLLED
—
IL
Enumeration date
05/06/2007
Last updated
11/07/2024
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