Individual
DR. GRANT ALLEN HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19021 US HIGHWAY 285, LA JARA, CO 81140
(719) 274-5121
(719) 274-6003
Mailing address
19021 US HIGHWAY 285, LA JARA, CO 81140
(719) 274-5121
(719) 274-6003
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24232
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01242320
—
CO
Enumeration date
12/09/2005
Last updated
09/20/2011
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