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Individual

TERY ALLEN HURSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
120 S. ATLANTIC, DILLON, MT 59725
(406) 683-4400
(406) 683-4408
Mailing address
120 S. ATLANTIC, DILLON, MT 59725
(406) 683-4400
(406) 683-4408

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
465
MT
363A00000X
Physician Assistant
Primary
PA465
MT

Other

Enumeration date
08/30/2006
Last updated
09/24/2012
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