Individual
MATTHEW HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., D.O.
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837
(509) 765-0674
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60870340
WA
Other
Enumeration date
05/12/2015
Last updated
08/01/2018
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