Individual
STANLEY L HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UWMC-ROOSEVELT, 4225 ROOSEVELT WAY NE, SEATTLE, WA 98105-6166
(206) 598-4067
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00016582
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231394
L&I
WA
05
—
1891871612
—
WA
01
—
9658
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
11/20/2012
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