Gary Russell Hardeman, DC

Chiropractor · Wildomar, CA

Individual Active NPI

NPI number 1790723518

Practice location

32246 Clinton Keith Rd
Suite 102
Wildomar, CA 92595-7320
Phone
(951) 677-8997
Fax
(951) 678-2893

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NPI record

NPI
1790723518
Entity type
Individual (Type 1)
Enumeration date
June 3, 2006
Last updated
January 4, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X DC21349 CA

About Dr. Hardeman

Gary Russell Hardeman, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 32246 Clinton Keith Rd, Suite 102, Wildomar, CA 92595-7320. The NPI number 1790723518 was assigned on June 3, 2006 and the record was last updated on January 4, 2018.

Dr. Hardeman lists a license in the registry: #DC21349 (CA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Russell Hardeman, DC?

The NPI number is 1790723518.

What is the phone number of Dr. Hardeman?

The phone number listed for the practice location is (951) 677-8997.

Where is Dr. Hardeman located?

32246 Clinton Keith Rd, Suite 102, Wildomar, CA 92595-7320.

What is the taxonomy code for Dr. Hardeman?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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