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DR. MALLORY HURST M.D.

Physicians Dermatology

Provider NPI: 1710229141

Provider Information:
DR. MALLORY  HURST M.D.
Gender: F
Not Sole Proprietor

Practice Location:
800 S CHURCH ST STE 202  JONESBORO, AR 72401 US
Tel: 870-336-0277  Fax: 870-932-5699

Business Mailing Address:
800 S CHURCH ST STE 203  JONESBORO, AR 72401-4106 US
Tel: 870-934-1466  Fax: --

NPI Information:
NPI: 1710229141
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207N00000XPhysicians
Dermatology
ARE-10383

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207N00000X

Type:

Classification:



Definition:



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