Individual
DIANNE K HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-4570
(417) 347-6755
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-6843
(417) 347-9397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2011024757
MO
207Q00000X
Family Medicine Physician
26887
OK
208M00000X
Hospitalist Physician
Primary
2011024757
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747570A
—
OK
05
—
200252810A
—
OK
Enumeration date
05/03/2007
Last updated
05/07/2018
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