Healthcare Provider Details

I. General information

NPI: 1487896973
Provider Name (Legal Business Name): MATTHEW EMERY HARDEE M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2009
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 CARTI WAY
LITTLE ROCK AR
72205-6523
US

IV. Provider business mailing address

500 S UNIVERSITY AVE SUITE 600
LITTLE ROCK AR
72205-5302
US

V. Phone/Fax

Practice location:
  • Phone: 501-296-3247
  • Fax: 501-664-8721
Mailing address:
  • Phone: 501-296-3247
  • Fax: 501-664-8721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberE-7372
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: