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Individual

DR. MATTHEW G HARDWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1425 N FAIRFIELD RD., STE 120, BEAVERCREEK, OH 45432-4543
(937) 320-3888
(937) 320-3848
Mailing address
25 MERCHANT ST, STE 220 - ATTN CREDENTIALING, CINCINNATI, OH 45246-3740
(513) 533-1199
(513) 645-9827

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35054710
OH
208000000X
Pediatrics Physician
35054710H
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0740881
OH
Enumeration date
06/13/2006
Last updated
01/25/2021
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