Individual
TIMOTHY E HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 S GRANGE AVE, STE 510, SIOUX FALLS, SD 57105-0404
(605) 328-7500
(605) 328-7599
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-7180
(605) 328-7177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1136
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000943
—
SD
Enumeration date
06/21/2005
Last updated
04/02/2010
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