Organization
RANDALL R HARDISON, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL ROY HARDISON MD (PHYSICIAN)
(480) 899-2101
Entity
Organization
Contact information
Practice address
2905 W WARNER RD, SUITE 19, CHANDLER, AZ 85224-1674
(480) 899-2101
(480) 899-2890
Mailing address
2905 W WARNER RD, SUITE 19, CHANDLER, AZ 85224-1674
(480) 899-2101
(480) 899-2890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24564
AZ
Other
Enumeration date
05/30/2007
Last updated
05/18/2010
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