MEDICARE: RONALD D HARDY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD00043503	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811993488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD D HARDY M.D.

Provider Business Mailing Address
First Line	:	235 E ROWAN AVE
Second Line	:	STE 102
City	:	SPOKANE
State	:	WA
Zip	:	99207-1240
Country	:	US
Telephone Number	:	509-489-2101
Fax Number	:	509-462-4949

Provider Business Practice Location Address
First Line	:	235 E ROWAN AVE
Second Line	:	STE 102
City	:	SPOKANE
State	:	WA
Zip	:	99207-1240
Country	:	US
Telephone Number	:	509-489-2101
Fax Number	:	509-462-4949

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	05/14/2008

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Directions to “ RONALD D HARDY M.D.” Practice Location

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