Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 37227 | CA |
Y | 213EG0000X | General Practice | 37227 | CA |
NPI | 1003930504 |
---|---|
Provider Name | Dr. Richard A Hardt |
First Address | Porterville, CA 93257-3612 |
Second Address | Porterville, CA 93257-3612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/07/2007 |