Healthcare Provider Details

I. General information

NPI: 1831532837
Provider Name (Legal Business Name): ADAM ROWE HURST M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2013
Last Update Date: 03/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S CHURCH ST STE 400
JONESBORO AR
72401-4112
US

IV. Provider business mailing address

800 S CHURCH ST STE 400
JONESBORO AR
72401-4112
US

V. Phone/Fax

Practice location:
  • Phone: 870-935-6012
  • Fax:
Mailing address:
  • Phone: 870-935-6012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberE10382
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: