Provider Demographics
NPI:1346450418
Name:HARDY, ROBERT ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:HARDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:112 LA CASA VIA STE 135
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3023
Mailing Address - Country:US
Mailing Address - Phone:925-378-4040
Mailing Address - Fax:925-300-4224
Practice Address - Street 1:112 LA CASA VIA STE 135
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3023
Practice Address - Country:US
Practice Address - Phone:925-378-4040
Practice Address - Fax:925-300-4224
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC38941207W00000X
CAC39841207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology