Provider Information for 1235854266
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Mr. TYLER HUDSON HARDY MPH,
Sex: Male
NPI: 1235854266
Last Updated: 2022-12-04
Certification Date: 2022-12-04
Certification Date: 2022-12-04
Details
| Name | Value | ||||||||||||||||||||||||
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| NPI | 1235854266 | ||||||||||||||||||||||||
| Enumeration Date | 2022-10-12 | ||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||
| Mailing Address | 2822 E COLFAX AVE DENVER, CO 80206-1507 United States Phone: 303-563-9569 | Fax: | ||||||||||||||||||||||||
| Primary Practice Address | 2822 E COLFAX AVE DENVER, CO 80206-1507 United States Phone: 303-953-2299 | Fax: | ||||||||||||||||||||||||
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