Individual
DR. SCOTT DAVID HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 N MICHIGAN ST, STE 400, SOUTH BEND, IN 46601-1081
(574) 647-8120
(574) 647-8111
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(547) 647-3725
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01076098A
IN
207UN0901X
Nuclear Cardiology Physician
01076098A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023695
—
IN
Enumeration date
03/18/2013
Last updated
02/20/2026
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