Provider Demographics
NPI:1154500346
Name:CRAIG L HURST MD PC
Entity Type:Organization
Organization Name:CRAIG L HURST MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:L
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-774-8714
Mailing Address - Street 1:2132 N 1700 W
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-7057
Mailing Address - Country:US
Mailing Address - Phone:801-774-8714
Mailing Address - Fax:
Practice Address - Street 1:2132 N 1700 W
Practice Address - Street 2:SUITE 300
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-7057
Practice Address - Country:US
Practice Address - Phone:801-774-8714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty