Individual
GRAYSON FLEMING MCHARGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5683
(928) 855-8185
Mailing address
24979 STARR ST, LOMA LINDA, CA 92354-2819
(916) 882-5959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
218357
AZ
367500000X
Certified Registered Nurse Anesthetist
95217169
CA
Other
Enumeration date
12/13/2024
Last updated
08/14/2025
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