Individual
DR. JASON WAYNE HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3215 N NORTHHILLS BLVD, SUITE 3, FAYETTEVILLE, AR 72703-4424
(479) 521-4433
(479) 521-0444
Mailing address
PO BOX 8850, FAYETTEVILLE, AR 72703-0015
(479) 521-4433
(479) 521-0444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
T2006-068
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162276001
—
AR
Enumeration date
07/16/2006
Last updated
01/06/2017
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