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NPI Code Detail

MEDICARE: HALEY HURST MD

MEDICARE: HALEY HURST MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramOH

General Provider Information

NPI Number : 1346181914
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY HURST MD
Provider Business Mailing Address
First Line : 1 CHILDRENS PLZ
Second Line :
City : DAYTON
State : OH
Zip : 45404-1815
Country : US
Telephone Number : 937-641-3433
Fax Number :
Provider Business Practice Location Address
First Line : 1 CHILDRENS PLZ
Second Line :
City : DAYTON
State : OH
Zip : 45404-1815
Country : US
Telephone Number : 937-641-3433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ HALEY HURST MD” Practice Location

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