Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | E-13544 | AR |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | ME139264 | FL |
N | 2081P2900X | Pain Medicine | ME139264 | FL |
NPI | 1295077055 |
---|---|
Provider Name | Paul Hurd II |
First Address | Springdale, AR 72764-5383 |
Second Address | Springdale, AR 72764-5383 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2013 |
Last Update Date | 18/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102101800 | (05) | FL |