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NPI Code Detail

MEDICARE: JOSEPH PAUL HARDY MD

MEDICARE: JOSEPH PAUL HARDY MD
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
1207Q00000XFamily Medicine Physician4506NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00827599OTHERNVRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1184626632
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH PAUL HARDY MD
Provider Business Mailing Address
First Line : 874 AMERICAN PACIFIC DR
Second Line :
City : HENDERSON
State : NV
Zip : 89014-8800
Country : US
Telephone Number : 702-777-4809
Fax Number :
Provider Business Practice Location Address
First Line : 595 W LAKE MEAD PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89015-7015
Country : US
Telephone Number : 702-566-5500
Fax Number : 702-558-7237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 08/22/2019

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Directions to “ JOSEPH PAUL HARDY MD” Practice Location

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