Charles Lynn Hardison MD

NPI 1538475793 - Family Medicine - 207Q00000X

NPI Details
NPI 1538475793
Gender Male
Enumeration Date 08/26/2010
Last Updated 09/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
15611 POMERADO RD
POWAY CA, 92064-2437, US
Phone (858) 673-2574
Fax (858) 618-1523
Business Location
PO BOX 28199
SAN DIEGO CA, 92198-0199, US
Phone (858) 673-2574
Fax (858) 618-1523
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G70382
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According to our database, Charles Lynn Hardison MD NPI is 1538475793, taxonomy code is 207Q00000X and license number is G70382, license state is located at California. Charles Lynn Hardison MD physically located at 15611 Pomerado Rd, Poway CA, 92064-2437. NPI Number Charles Lynn Hardison MD has the Individual type.

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1538475793 NPI number is provided on an as is basis without warranty of any kind. 1538475793 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Lynn Hardison MD are for informational purposes only.