Individual
DR. RAYMOND A HURM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9327 N 3RD ST #204, PHOENIX, AZ 85020-2473
(602) 944-9679
(602) 944-8471
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
7498
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1803508
CIGNA
AZ
05
—
218314
—
AZ
01
—
4022121
AETNA
AZ
01
—
787313
WELLCARE MEDICARE ADVANTAGE
AZ
01
—
P01165312
RAILROAD MCR
AZ
Enumeration date
06/01/2005
Last updated
03/19/2014
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