Organization
HEALTHSPANMD PLLC
Active
Organization
HEALTHSPANMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TODD HURST MD (OWNER)
(480) 847-2575
Entity
Organization
Contact information
Practice address
2222 E HIGHLAND AVE STE 222, PHOENIX, AZ 85016-4876
(480) 847-2575
Mailing address
4808 N 24TH ST UNIT 1103, PHOENIX, AZ 85016-9113
(480) 847-2575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
09/30/2022
Last updated
12/20/2023
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