Individual
SCOTT RYAN HARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
(320) 763-7883
Mailing address
610 30TH AVE W, ALEXANDRIA, MN 56308-3426
(320) 763-5123
(320) 763-7883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12028
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780040949
NPI
MN
Enumeration date
01/04/2016
Last updated
06/13/2025
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