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Individual

RYAN M HARDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL DR, (116NS), SALT LAKE CITY, UT 84148-0001
(801) 558-7755

Taxonomy

Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
61-19140
UT
2084P0800X
Psychiatry Physician
69888
UT
2084P0802X
Addiction Psychiatry Physician
Primary
2429
UT

Other

Enumeration date
04/01/2009
Last updated
02/06/2025
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