Individual
MELISSA MARIE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2120 W ELK AVE, DUNCAN, OK 73533-1569
(580) 251-6822
Mailing address
1334 N HARVILLE RD, DUNCAN, OK 73533-1514
(580) 255-8564
(580) 255-8640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29349
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200442590A
—
OK
Enumeration date
05/30/2012
Last updated
03/17/2023
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