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Individual

SPENCER HARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6104 E BROWN RD STE 101, MESA, AZ 85205-4953
(480) 219-4100
(877) 258-1138
Mailing address
1119 S RICO, MESA, AZ 85204-5526
(480) 204-7118

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD-000998
AZ
213ES0000X
Sports Medicine Podiatrist
POD-000998
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
POD-000998
AZ

Other

Enumeration date
04/11/2018
Last updated
10/30/2024
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