Individual
ROBERT A HARDESTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
4646 BROCKTON AVE, SUITE 302, RIVERSIDE, CA 92506-0102
(951) 686-7600
(951) 369-9999
Mailing address
PO BOX 10609, SAN BERNARDINO, CA 92423-0609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
GO4871
CA
208200000X
Plastic Surgery Physician
Primary
G40871
CA
Other
Enumeration date
07/21/2006
Last updated
07/14/2019
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