Provider Demographics
NPI:1417426461
Name:HARDI, JULIUS LEO (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:JULIUS
Middle Name:LEO
Last Name:HARDI
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:1417 E COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-3906
Mailing Address - Country:US
Mailing Address - Phone:314-590-3661
Mailing Address - Fax:
Practice Address - Street 1:8156 COMANCHE BLVD
Practice Address - Street 2:
Practice Address - City:URLAS
Practice Address - State:ANSBACH
Practice Address - Zip Code:91522
Practice Address - Country:DE
Practice Address - Phone:314-590-3661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical