Individual
DR. RYAN W. HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 E ELM ST STE 350, CALDWELL, ID 83605-4881
(208) 459-0028
Mailing address
PO BOX 742941, ATLANTA, GA 30374-2941
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M-7557
ID
Other
Enumeration date
06/07/2006
Last updated
01/18/2023
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