Individual
DR. J. DAVID HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 N 18TH ST STE 402, PHOENIX, AZ 85006-3746
(602) 253-2813
(602) 253-2815
Mailing address
525 N 18TH ST STE 402, PHOENIX, AZ 85006-3746
(602) 253-2813
(602) 253-2815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21035
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115560
—
AZ
01
—
AZ04206
PC ACE ID
AZ
Enumeration date
12/31/2007
Last updated
01/03/2008
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