Organization
HARDTNER MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL G MATHEWS (CEO)
(318) 495-3131
Entity
Organization
Contact information
Practice address
1102 NORTH PINE RD, OLLA, LA 71465
(318) 495-3131
Mailing address
1102 NORTH PINE RD, OLLA, LA 71465
(318) 495-3131
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
200484
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054356
—
LA
Enumeration date
01/14/2008
Last updated
01/14/2008
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