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Organization

MARTY HURLBUT, M.D., PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN MARTIN HURLBUT M.D. (PRESIDENT/OWNER)
(479) 444-2207
Entity
Organization

Contact information

Practice address
153 E MONTE PAINTER DR, FAYETTEVILLE, AR 72703-4002
(479) 444-2207
(479) 444-2381
Mailing address
PO BOX 8638, FAYETTEVILLE, AR 72703-0011
(479) 444-2207
(479) 444-2381

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N8015
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117736001
AR
05
146527002
AR
Enumeration date
04/23/2007
Last updated
09/25/2013
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