Individual
MICHELLE R HURTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
300 E JEFFERSON ST, STE 201, BOISE, ID 83712-6246
(208) 381-4100
(208) 381-1665
Mailing address
300 E JEFFERSON ST, STE 201, BOISE, ID 83712-6246
(208) 381-4100
(208) 381-1665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA186
ID
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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