Individual
DR. ELVIN HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 SENECA TRL, SHREVEPORT, LA 71107-5424
(318) 458-3674
Mailing address
505 SENECA TRL, SHREVEPORT, LA 71107-5424
(318) 458-3674
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
65946
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2010
Last updated
07/27/2016
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