Individual
ISAAC MICHAEL HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 LATHROP ST, FAIRBANKS, AK 99701-7426
(936) 397-9445
Mailing address
211 CLARKSON DR APT 71, FAIRBANKS, AK 99709-3117
(936) 397-9445
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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