Individual
PHILIP JONES HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
339 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-1227
Mailing address
3024 E FRATELLO ST, MERIDIAN, ID 83642-9336
(214) 405-0301
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D-5376-OS
ID
Other
Enumeration date
03/03/2016
Last updated
05/07/2025
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