Vernon Tillman Hurst
Student in an Organized Health Care Education/Training Program in Saint Louis, MO. Individual provider (NPI-1).
NPI number1083176812
StatusActive
Last updated in NPPESApr 1, 2019
Details
- NPI
- 1083176812
- Entity type
- Individual (NPI-1)
- Name
- Vernon Tillman Hurst
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2019
- Last updated
- Apr 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
9 N Euclid Ave Unit 509Saint Louis, MO 63108-1483
Phone 256-566-8002
Mailing address
9 N Euclid Ave Unit 509Saint Louis, MO 63108-1483
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