Organization
EVAN B HURST, MD, INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN B HURST MD (OWNER)
(812) 630-8660
Entity
Organization
Contact information
Practice address
721 W 13TH ST, SUITE 322, JASPER, IN 47546-1855
(812) 309-3055
Mailing address
PO BOX 786, JASPER, IN 47547-0786
(812) 309-3055
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
01042311
IN
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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