Individual
M YADIRA HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 S GRAND BLVD FL 3, SAINT LOUIS, MO 63104-1016
(314) 977-3400
(314) 977-7613
Mailing address
1008 S SPRING AVE FL 3, SAINT LOUIS, MO 63110-2520
(314) 977-1771
(314) 977-1802
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
115354
MO
207ND0900X
Dermatopathology Physician
Primary
115354
MO
Other
Enumeration date
07/16/2006
Last updated
03/30/2021
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