Individual
JOLENE CLARK HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1555 E RIVER RD, TUCSON, AZ 85718-5831
(520) 321-9850
(520) 321-9005
Mailing address
PO BOX 13627, TUCSON, AZ 85732-3627
(520) 750-7160
(520) 886-1929
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
40282
AZ
207X00000X
Orthopaedic Surgery Physician
7621240-1205
UT
207X00000X
Orthopaedic Surgery Physician
80870
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40282
STATE LICENSE
AZ
Enumeration date
07/27/2007
Last updated
03/11/2024
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