Individual
JAMES THOMAS HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
165 S EDWIN C MOSES BLVD, DAYTON, OH 45402-8472
(937) 558-0200
(937) 558-0201
Mailing address
PO BOX 71-4828, COLUMBUS, OH 43271-0001
(937) 558-0200
(937) 558-0201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34007774
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2330301
—
OH
01
—
3601331
MEDICARE GROUP NUMBER
OH
Enumeration date
11/14/2005
Last updated
03/17/2008
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