Individual
DR. RICHARD EDWARD HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4753 ORCAS ST NE, LACEY, WA 98516-6645
(360) 866-1116
Mailing address
4753 ORCAS ST NE, LACEY, WA 98516-6645
(360) 866-1116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00011101
WA
Other
Enumeration date
09/05/2012
Last updated
11/05/2015
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