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Individual

MICHAEL DEAN HURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7190 E KIERLAND BLVD UNIT 924, SCOTTSDALE, AZ 85254-0081
(515) 491-7755
Mailing address
7190 E KIERLAND BLVD # 294, SCOTTSDALE, AZ 85254-2657
(515) 491-7755

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28371
IA
207L00000X
Anesthesiology Physician
Primary
36315
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07305
WELLMARK BC BS
IA
05
6139329
IA
Enumeration date
05/03/2006
Last updated
01/16/2024
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