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NPI Code Detail

MEDICARE: DR. DAVID C. HURLEY MD

MEDICARE: DR. DAVID C. HURLEY 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
1208000000XPediatrics Physician169256-1205UT

General Provider Information

NPI Number : 1396727269
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID C. HURLEY MD
Provider Business Mailing Address
First Line : 5770 S 250 E
Second Line : SUITE 290
City : MURRAY
State : UT
Zip : 84107-8100
Country : US
Telephone Number : 801-747-8700
Fax Number : 801-747-8701
Provider Business Practice Location Address
First Line : 5770 S 250 E
Second Line : SUITE 290
City : MURRAY
State : UT
Zip : 84107-8100
Country : US
Telephone Number : 801-747-8700
Fax Number : 801-747-8701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 07/26/2013

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Directions to “ DR. DAVID C. HURLEY MD” Practice Location

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