Individual
RICHARD A BARDACK
Active
Individual
RICHARD A BARDACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
012782
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000132657L
—
GA
05
—
000132657M
—
GA
05
—
000132657N
—
GA
05
—
000132657O
—
GA
05
—
000132657P
—
GA
05
—
000132657Q
—
GA
05
—
000132657R
—
GA
Enumeration date
04/22/2009
Last updated
11/17/2011
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