Search › Idaho › 363AS0400X
Michael Hardesty, PA-C
NPI 1912035999 · on the registry since 2007
Practice
- Address
- 1055 N Curtis Rd
Boise, ID 83706 - Phone
- (208) 367-8855
- Fax
- (208) 954-8073
- Organisation at this address
- Cep America, Llc
St Alphonsus Reg Med
Boise Anesthesia, Pa
Boise Anesthesia, P A
Gem State Radiology LlpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 407
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363AS0400X
2255A2300X - Licence states on file
- MD, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho