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Individual

MR. LEO W HARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 N HOSPITAL DR, PRICE, UT 84501-4218
(435) 637-4800
(435) 637-0621
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1884531205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
220013270
RAILROAD MEDICARE
UT
Enumeration date
01/03/2007
Last updated
07/29/2013
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