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Organization

CENTER FOR DERMATOLOGY - ERIK B HURST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIK B HURST M.D. (PHYSICIAN)
(304) 263-3933
Entity
Organization

Contact information

Practice address
1000 SUSHRUTA DR, MARTINSBURG, WV 25401-8876
(304) 263-3933
(304) 596-5554
Mailing address
1000 SUSHRUTA DR, MARTINSBURG, WV 25401-8876
(304) 263-3933
(304) 596-5554

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22667
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001978551
MOUTAIN STATE BLUE CROSS BLUE SHIELD
WV
05
381009620
WV
01
DG2688
RAILROAD MEDICAE
WV
Enumeration date
09/18/2007
Last updated
08/10/2017
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