Erica Louise Hargrave, DC | |
22719 S Ellsworth Rd Ste 104, Queen Creek, AZ 85142-6128 | |
(408) 788-3424 | |
Not Available |
Full Name | Erica Louise Hargrave |
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Gender | Female |
Speciality | Chiropractor |
Location | 22719 S Ellsworth Rd Ste 104, Queen Creek, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811427396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 8646 (Arizona) | Primary |
Provider Name | Life Aligned Chiropractic Plc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710417290 PECOS PAC ID: 7618249392 Enrollment ID: O20170815002430 |
Mailing Address | Practice Location Address |
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Erica Louise Hargrave, DC 3587 W Morgan Ln, San Tan Valley, AZ 85142-3121 Ph: () - | Erica Louise Hargrave, DC 22719 S Ellsworth Rd Ste 104, Queen Creek, AZ 85142-6128 Ph: (408) 788-3424 |
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