Provider Demographics
NPI:1821792573
Name:HUNTER, ERSKINE IV (MD)
Entity type:Individual
Prefix:DR
First Name:ERSKINE
Middle Name:
Last Name:HUNTER
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PETE
Other - Middle Name:
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL DR # 58.00
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65212-1000
Mailing Address - Country:US
Mailing Address - Phone:573-882-4438
Mailing Address - Fax:573-884-9992
Practice Address - Street 1:1021 HITT ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-3022
Practice Address - Country:US
Practice Address - Phone:738-824-4385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024025235208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics