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Individual

DR. JUDY A HARDAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
965 ELLENDALE DR, MEDFORD, OR 97504-8215
(541) 734-3434
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 734-3434

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD161618
OR
207Q00000X
Family Medicine Physician
MD20050308
NM
207Q00000X
Family Medicine Physician
ME91522
FL

Other

Enumeration date
08/31/2006
Last updated
11/21/2016
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