Individual
JACOB HARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT(R)(MR)
Contact information
Practice address
5 KIPLING WAY APT 202, COLUMBIA, MO 65201-7251
(573) 864-9381
Mailing address
5 KIPLING WAY APT 202, COLUMBIA, MO 65201-7251
(573) 864-9381
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
504802
MO
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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