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Individual

DR. DENNIS KEITH HARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1810 STADIUM DR, STE 240, PHENIX CITY, AL 36867
(334) 291-8303
(334) 291-8325
Mailing address
1810 STADIUM DR, STE 240, PHENIX CITY, AL 36867
(334) 291-8303
(334) 291-8325

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21958
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009907915
AL
01
08BBXHP
MEDICARE
GA
Enumeration date
08/31/2006
Last updated
07/08/2007
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