Individual
RICHARD W HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5770 S 250 E STE 235, MURRAY, UT 84107-6191
(801) 314-5115
(801) 314-5112
Mailing address
5770 S 250 E STE 235, MURRAY, UT 84107-6191
(801) 314-5115
(801) 314-5112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT194532
PA
208100000X
Physical Medicine & Rehabilitation Physician
105013
MN
208100000X
Physical Medicine & Rehabilitation Physician
53356
MN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8687701-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00886907
RAILROAD MEDICARE
MN
Enumeration date
07/24/2009
Last updated
04/28/2020
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