Individual provider · Type 1 NPI

Gary Russell Hardeman, DC

Chiropractor · Wildomar, CA

NPI number 1790723518 Active

Practice location

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

Fax (951) 678-2893

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC21349 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1790723518

Gary Russell Hardeman, DC's National Provider Identifier is 1790723518, issued on Jun 3, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wildomar, CA. The record was last updated on Jan 4, 2018.