Individual
MICHAEL C HARDACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-5638
(775) 982-5639
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01045419
IN
2085R0001X
Radiation Oncology Physician
Primary
14711
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11300818
CAQH
NV
05
—
1730171661
—
NV
05
—
200479050
—
IN
Enumeration date
08/17/2005
Last updated
03/15/2018
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