Individual
ROBERT HADLEY HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 SIERRA GATE PLZ STE 120, ROSEVILLE, CA 95678-6647
(916) 784-1155
(916) 773-0995
Mailing address
10 SIERRA GATE PLZ STE 120, ROSEVILLE, CA 95678-6647
(916) 784-1155
(916) 773-0995
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G46499
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G464990
—
CA
01
—
680021148
BLUE CROSS
CA
01
—
680021148
BLUE SHIELD
CO
Enumeration date
07/26/2006
Last updated
07/08/2007
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