Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35047888 | OH |
N | 207QA0401X | Family Doctor - Addiction Medicine | 35047888 | OH |
NPI | 1689630329 |
---|---|
Provider Name | Wesley Frank Hard |
First Address | Columbus, OH 43228 |
Second Address | Columbus, OH 43228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 13/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0527148 | (05) | OH |
A80597 | (02) |