Individual
MR. GERARDO HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 GRANT ST, GARY, IN 46402-6001
(219) 886-4405
Mailing address
2692 TERESA ST, PORTAGE, IN 46368-3642
(219) 331-3264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001146A
IN
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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