Individual
HURSH JETLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2000 W BETHANY HOME RD STE 200, PHOENIX, AZ 85015-2443
(602) 246-5658
Mailing address
1920 E INDIAN SCHOOL RD, PHOENIX, AZ 85016-6023
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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