Individual
DR. CREIGHTON ALVES HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1151 HOSPITAL WAY, BUILDING F, POCATELLO, ID 83201-5091
(208) 232-1443
(208) 239-3434
Mailing address
1151 HOSPITAL WAY, BUILDING F, POCATELLO, ID 83201-5091
(208) 232-1443
(208) 239-3434
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
M3986
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003746600
—
ID
Enumeration date
08/10/2005
Last updated
11/02/2012
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