Individual
MR. JAMES LEROY HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1225 CAMPBELL WAY STE 101, BREMERTON, WA 98310-3323
(360) 479-4203
(360) 479-7240
Mailing address
1225 CAMPBELL WAY STE 101, BREMERTON, WA 98310-3323
(360) 479-4203
(360) 479-7240
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60002566
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093191
—
WA
01
—
374005
LABOR & INDUSTRIES
WA
Enumeration date
10/15/2007
Last updated
07/02/2020
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