Individual
DR. ERIK B HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 SUSHRUTA DR, MARTINSBURG, WV 25401-8876
(304) 263-3933
Mailing address
1000 SUSHRUTA DR, MARTINSBURG, WV 25401-8876
(304) 263-3933
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22667
WV
207ND0101X
MOHS-Micrographic Surgery Physician
22667
WV
207ND0900X
Dermatopathology Physician
22667
WV
207NP0225X
Pediatric Dermatology Physician
22667
WV
207NS0135X
Procedural Dermatology Physician
22667
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810009620
—
WV
01
—
DG2688
RAILROAD MEDICARE
WV
Enumeration date
03/16/2007
Last updated
05/20/2008
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