Organization
DENISE HARDY DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE A HARDY DPM (PRESIDENT)
(314) 638-1590
Entity
Organization
Contact information
Practice address
9815 MACKENZIE RD, ST LOUIS, MO 63123
(314) 638-1590
(314) 638-8788
Mailing address
7541 LOVELLA, ST LOUIS, MO 63117
(314) 638-1590
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113313
BLUE SHIELD
MO
01
—
2700678
UHC
MO
Enumeration date
09/16/2006
Last updated
08/22/2020
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