Individual
WESLEY CALVIN HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 202-2460
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2012005130
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790947885
—
MO
01
—
431560263
TRICARE
MO
Enumeration date
06/30/2008
Last updated
04/04/2024
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