| Doctor Name: | DAVID A HIRSTIUS |
| NPI Number: | 1780747170 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 036112783 |
| Business Practice Address: | 1707 N 12th St Quincy, IL - 62301 |
| Business Phone Number: | 2172228641 |
| Business Fax Number: | 2172228578 |
| Mailing Address: | 1707 N 12th St, Bldg 29m QUINCY |
| State: | IL |
| Postal Code: | 62301 |
| Phone Number: | 2172229487 |
| Fax Number: | 2172228578 |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 12/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036112783 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |