Individual
LAURA ASHLEY HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 MEDICAL PARK DR STE 203, BENTON, AR 72015-3732
(501) 315-7620
Mailing address
199 E MAIN ST, FARMINGTON, AR 72730-3023
(479) 267-1001
(479) 267-1026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3785
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154263001
—
AR
Enumeration date
11/02/2005
Last updated
12/10/2020
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