Organization
NEW RIVER DERMATOLOGY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL S HURD DO (OWNER)
(540) 953-2210
Entity
Organization
Contact information
Practice address
2617 SHEFFIELD DR, BLACKSBURG, VA 24060-8271
(540) 953-2210
(540) 951-9112
Mailing address
2617 SHEFFIELD DR, BLACKSBURG, VA 24060-8271
(540) 953-2210
(540) 951-9112
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0102201003
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01391200002
QUAL CHOICE
VA
01
—
140785
TRIGON
VA
05
—
5901928
—
VA
01
—
CH9865
RR MEDICARE GROUP ID
VA
Enumeration date
10/20/2006
Last updated
07/27/2010
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