Individual
SEAN D HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9631 N NEVADA ST, STE 300, SPOKANE, WA 99218
(509) 489-4040
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 489-4040
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00033629
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109428
L I
—
05
—
1098995
—
WA
01
—
110140054
TRAV MEDICARE
WA
01
—
1477655579
NPI
WA
Enumeration date
09/01/2006
Last updated
06/01/2021
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