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NPI Code Detail

MEDICARE: DR. MARK A HURST M.D.

MEDICARE: DR. MARK A HURST M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35-053970OH

General Provider Information

NPI Number : 1316031172
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK A HURST M.D.
Provider Business Mailing Address
First Line : 1791 ALUM CREEK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1757
Country : US
Telephone Number : 614-445-8131
Fax Number :
Provider Business Practice Location Address
First Line : 1791 ALUM CREEK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1757
Country : US
Telephone Number : 614-445-8131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 05/10/2021

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Directions to “ DR. MARK A HURST M.D.” Practice Location

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