Individual
JONATHAN BRYAN HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST RM N3E09, BALTIMORE, MD 21201-1544
(410) 328-6110
Mailing address
1901 S CHARLES ST APT 334, BALTIMORE, MD 21230-4935
(443) 783-0490
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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