Individual
DR. DAVID L HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1260 E STATE ROAD 205, COLUMBIA CITY, IN 46725-9492
(260) 248-9411
(260) 248-9135
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 482-5091
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01031922
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010122
MPLAN
—
01
—
000000082543
ANTHEM
IN
05
—
100263130
—
IN
05
—
104874516
—
MI
05
—
2517057
—
OH
Enumeration date
11/22/2005
Last updated
07/10/2024
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