Individual
STACY HARDY
Active
Individual
STACY HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17060
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166707
UMWA
OK
01
—
1324230001
PALMETTO DME
OK
01
—
731310891006
UNICARE
OK
01
—
731310891028
TRICARE SOUTH
OK
01
—
74502A015
CHAMPUS (WPS)
OK
01
—
E27646
STERLING OPTION 1
OK
Enumeration date
04/10/2006
Last updated
04/14/2008
Update your record
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