Individual
DEREK HARDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5447
Mailing address
3726 BROADWAY, STE 201, EVERETT, WA 98201-3788
(425) 258-3903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004498
WA
Other
Enumeration date
11/10/2006
Last updated
05/18/2021
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