Individual
ALVIE S HURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
9029 SOQUEL AVE, SUITE D, SANTA CRUZ, CA 95062-2085
(831) 479-8310
(831) 479-8318
Mailing address
601 VIA VAQUERO SUR, SAN JUAN BAUTISTA, CA 95045
(831) 623-9292
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E23990
—
CA
01
—
942612498
TAX ID
CA
Enumeration date
10/02/2006
Last updated
04/30/2012
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