Randolph W Hurley
Hematology & Oncology
640 Jackson Street Mc 11503f
St Paul
, Minnesota 55101-2502
Randolph W Hurley
Hematology & Oncology
640 Jackson Street Mc 11503f
St Paul
, Minnesota 55101-2502
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Randolph W Hurley
- 8170 33rd Ave S # Ms 21110q
- Minneapolis, MN
- Zip : 55425-4516
- Phone :
Second Address
- Randolph W Hurley
- 640 Jackson Street Mc 11503f
- St Paul, MN
- Zip : 55101-2502
- Fax : (651) 254-3470
- Phone : (651) 254-3448
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 34608 | MN |
National Provider Identifier
| NPI | 1033184239 |
|---|---|
| Provider Name | Randolph W Hurley |
| First Address | Minneapolis, MN 55425-4516 |
| Second Address | St Paul, MN 55101-2502 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2006 |
| Last Update Date | 17/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 142887000 | (05) | MN |
| F14563 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.