Provider Demographics
NPI:1427206218
Name:HURLEY, JOHN T (PA-C)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:T
Last Name:HURLEY
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:TOPPENISH
Mailing Address - State:WA
Mailing Address - Zip Code:98948-0190
Mailing Address - Country:US
Mailing Address - Phone:509-865-2395
Mailing Address - Fax:509-865-0757
Practice Address - Street 1:4001 N COOK ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-5879
Practice Address - Country:US
Practice Address - Phone:509-483-3427
Practice Address - Fax:509-482-5064
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2014-07-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant