Individual
DALE A HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM
Contact information
Practice address
1919 LATHROP ST, #217, FAIRBANKS, AK 99701-5937
(907) 456-8191
(907) 456-8192
Mailing address
1919 LATHROP ST, #217, FAIRBANKS, AK 99701-5937
(907) 456-8191
(907) 456-8192
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
203233-4402
UT
Other
Enumeration date
06/27/2006
Last updated
10/15/2009
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