Individual
JAMES M HARDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
61 CHARLES ST, DEADWOOD, SD 57732-1303
(605) 722-6101
Mailing address
1601 N HARRISON AVE, PIERRE, SD 57501-2378
(605) 945-1710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0432
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040959
WELLMARK
SD
05
—
6824182
—
SD
01
—
9238019
DAKOTACARE
SD
Enumeration date
05/31/2006
Last updated
02/23/2008
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