Provider Demographics
NPI:1003886284
Name:HURST, WILLIAM M (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:M
Last Name:HURST
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:4005 RICHARDSON RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5608
Mailing Address - Country:US
Mailing Address - Phone:757-462-7403
Mailing Address - Fax:757-462-4292
Practice Address - Street 1:4005 RICHARDSON RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5608
Practice Address - Country:US
Practice Address - Phone:757-462-7403
Practice Address - Fax:757-462-4292
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101038573207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine