Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 36-003101 | OH |
Y | 222Z00000X | Podiatrist | 36-003101 | OH |
NPI | 1023123593 |
---|---|
Provider Name | Dr. Mark Adair Hardy |
First Address | Cincinnati, OH 45263-6643 |
Second Address | Avon, OH 44011-1239 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 08/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2226246 | (05) | OH |
U48637 | (02) |