Individual
ANDREW H HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1304 FAWCETT AVE, SUITE 100, TACOMA, WA 98402-1911
(253) 680-3555
(253) 383-3553
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 680-3555
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD60286119
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8910554
PTAN
WA
01
—
G8910556
PTAN
WA
01
—
G8910557
PTAN
WA
01
—
G8910558
PTAN
WA
Enumeration date
10/13/2005
Last updated
05/15/2014
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